Bolpur, Birbhum, West Bengal
| Title | Description |
|---|---|
| TPA Tie-Up Coordinator | Coordinate with TPA companies, insurance providers, and hospital departments Manage TPA empanelment, renewals, and documentation Ensure smooth processing of cashless approvals and authorizations Maintain records of agreements, tariffs, and correspondence Resolve TPA-related queries and follow up on pending cases |
| TPA Operations Manager | Oversee daily TPA operations and billing processes Supervise TPA team and ensure timely claim submission and settlement Monitor rejection cases and handle escalations Coordinate with clinical, billing, and accounts departments Ensure compliance with hospital policies and insurance guidelines Prepare operational reports and MIS |
| Title | Description |
|---|---|
| Required Skills | In-depth knowledge of TPA & insurance workflows Strong communication and coordination skills Ability to handle multiple cases and deadlines Proficiency in hospital billing software and MS Office Problem-solving and decision-making abilities Team management skills (for Operations Manager role) |
| Title | Description |
|---|---|
| Eligibility Criteria | Minimum 3 years of relevant experience in TPA operations Experience in a reputed hospital or nursing home is mandatory Graduate / Postgraduate preferred (any discipline related to healthcare or management) Strong understanding of health insurance and cashless claim processes |
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