TPA Executive

Job Description TPA Executive / Cashless Coordinator Department TPA / Billing Experience 45 years (Multispeciality Hospital preferred) Reporting To TPA Manager / Billing Head Location Ozone Multispeciality Hospital / Triveni Hospital Job Purpose To ensure smooth handling of cashless patients including pre-authorization, approvals, documentation, and claim processing while minimizing rejection and ensuring patient satisfaction. Key Responsibilities Handle pre-authorization and eligibility verification.Coordinate with TPA/Insurance for approvals and queries.Manage inpatient documentation and updates.Ensure smooth discharge and billing approval.Maintain accurate claim files.Resolve queries and reduce rejections.Maintain daily MIS and reports.Key Performance Indicators (KPI) Pre-authorization turnaround timeClaim rejection rateDeduction percentagePatient satisfactionDocumentation accuracyQualification Graduate (Healthcare preferred). Certification in hospital administration is an advantage. Skills Required Good communication and coordinationKnowledge of TPA portals (Medi Assist, Vidal, FHPL etc.)Basic understanding of hospital billing and documentationComputer proficiency (Excel, HIS)Compensation: 20,000.00 - 25,000.00 per month Benefits: Provident FundWork Location: In person .