Job title: EXECUTIVE TPA
Company:
Job description: Company OverviewSir H. N. Reliance Foundation Hospital & Research Centre is a leading multi-speciality tertiary care hospital located in Mumbai. Renowned for its state-of-the-art infrastructure and commitment to patient care, the hospital offers advanced diagnostic services and a wide range of specialities, including Cardiac Sciences, Oncology, and Women’s Health. Since its inception in 1918, the institution has been synonymous with excellence and innovation in healthcare delivery, reflecting a deep respect for life and legacy of service.Job OverviewThe position of Executive TPA at Sir H. N. Reliance Foundation Hospital & Research Centre is a full-time junior-level role based in Mumbai. The ideal candidate should have between 1 to 3 years of experience and will be responsible for TPA coordination and claims processing. This role requires comprehensive knowledge of health insurance processes and effective patient communication.Qualifications and Skills
- Experience in TPA coordination and handling insurance claims efficiently (Mandatory skill).
- Proficiency in processing claims, ensuring compliance with standard procedures (Mandatory skill).
- Skillful in patient communication, empathizing and effectively addressing patient queries.
- Thorough understanding of health insurance policies and coverage benefits.
- Knowledge of hospital management systems to facilitate seamless operations.
- Expertise in managing discharge processes, ensuring a streamlined patient experience.
- Proficiency in customer relationship management to enhance patient satisfaction.
- Strong documentation skills for effective record-keeping and communication with stakeholders.
Roles and Responsibilities
- Coordinate with third-party administrators to manage insurance claims processing effectively.
- Handle patient inquiries relating to insurance coverage and process medical claims accurately.
- Maintain a comprehensive understanding of various health insurance policies available to patients.
- Ensure all hospital management systems are updated with patient insurance details and claims status.
- Assist in the discharge process, liaising with patients and departments to facilitate timely discharges.
- Maintain strong relationships with TPAs and other stakeholders to support seamless operations.
- Prepare and manage documentation relating to claims and insurance regularly.
- Provide timely and accurate reports on claim status and patient interactions to management.
Expected salary: Rs.700000 per year
Location: Mumbai, Maharashtra
Job date: Sat, 26 Jul 2025 02:38:16 GMT
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