01Overview
Yukti Herbs Multispeciality Ayurveda & Panchakarma Hospital is looking for an experienced TPA Executive to manage insurance, TPA, and cashless-related processes specifically for an Ayurveda hospital. The candidate should have good knowledge of hospital documentation, claim processing, pre-authorizations, and coordination with TPAs/insurance companies.
Key Responsibilities
- Handle TPA and insurance-related documentation for IPD patients.
- Coordinate for cashless approvals, pre-authorizations, and claim submissions.
- Prepare and verify patient files as per TPA requirements.
- Coordinate with doctors and the billing/MRD team for complete documentation.
- Ensure timely submission of required documents and claims.
- Follow up with TPAs and insurance companies regarding approvals and claim status.
- Handle queries, deficiencies, and re-submission of documents.
- Maintain proper records of all TPA cases and claims.
- Ensure documentation is complete and compliant with hospital and TPA guidelines.
- Coordinate during patient admission, treatment, discharge, and final claim settlement.
Requirements
- Graduate in any discipline; healthcare/insurance-related qualification preferred.
- 13 years of experience in TPA/insurance/hospital billing.
- Experience in an Ayurveda hospital will be an added advantage.
- Good knowledge of hospital documentation and medical terminology.
- Good communication and coordination skills.
- Basic knowledge of MS Office/Excel.
- Ability to manage multiple cases and follow up effectively.
Preferred Skills
- Knowledge of Ayurvedic treatment and Panchakarma documentation will be a plus.
- Experience with cashless/insurance processes.
- Good understanding of IPD files, discharge summaries, bills, prescriptions, and supporting documents.
- Solid attention to detail.
Compensation: 20,000.00 - 30,000.00 per month
Work Location: In person .
