TPA Co-ordinator

Job Title

Coordinator – NABH / Ayushman / CGHS-ECHS / TPA Insurance

Location

Gurgaon, Haryana

Industry

Healthcare – Eye Hospital

Employment Type

Full-Time

Job Summary

We are looking for a knowledgeable and detail-oriented Coordinator to manage and oversee compliance and processes related to NABH accreditation, Ayushman Bharat, CGHS/ECHS panels, and TPA/Insurance at a reputed Eye Hospital in Gurgaon. The ideal candidate must be well-versed in healthcare regulatory requirements and third-party billing systems, with excellent coordination and documentation skills.

Key Responsibilities

Handle all processes and documentation related to NABH accreditation and ensure adherence to quality standards and protocols.

Manage registrations, approvals, and billing for Ayushman Bharat Yojana, CGHS, and ECHS schemes.

Coordinate with TPA companies and insurance providers for patient pre-authorization, claims processing, and timely settlements.

Maintain accurate records of empanelment and ensure compliance with guidelines from government and insurance bodies.

Liaise with internal departments including billing, accounts, and patient counselling for smooth operations.

Stay updated with policy changes, documentation formats, and digital submission portals.

Prepare and submit reports to management regarding empanelment performance and claim status.

Required Skills & Qualifications

Graduate in any discipline (Preference: Hospital Administration or Healthcare Management).

Minimum 2–4 years of experience in a similar role in a NABH-accredited hospital or eye care institution.

In-depth knowledge of Ayushman Bharat, CGHS, ECHS, and TPA/Insurance procedures.

Strong organizational and administrative abilities.

Computer proficiency with experience in hospital software, MS Office, and online claim portals.

Good communication skills in English and Hindi.

Preferred Qualifications

Experience working in a specialty or eye hospital setting.

Salary

As per industry standards and based on experience.

Job Types

Full-time, Permanent

Pay

₹30,000.00 - ₹45,000.00 per month

Benefits

Health insurance

Provident Fund

Work Location

In person