TPA Manager

Key Responsibilities: Pre-Authorization & Admission  Verify patient eligibility for TPA/insurance benefits.  Collect and process required documents for pre-authorization.  Obtain approval from TPA companies prior to surgeries and procedures.  Educate patients and relatives about insurance process and timelines. Documentation & Coordination  Maintain updated files for all empaneled TPAs and insurance providers.  Ensure proper documentation of patient records as per TPA norms.  Coordinate with consultants, medical records, and billing teams for documentation accuracy. Claims Processing  Prepare and submit final bills, discharge summaries, and related documents to TPAs.  Submit claims within stipulated timelines to avoid delays.  Follow up rigorously on pending and rejected claims.  Resolve discrepancies and ensure claim resubmission if required.

Job Types

Full-time, Permanent

Pay

₹20,000.00 - ₹30,000.00 per month

Work Location

In person