TPA Coordinator

TATA 1 MG; Gurugram District; On-site; INR 446,000 - 781,000; Full time

Job summary

TATA 1 MG in Gurugram is seeking a claims coordination professional to resolve issues with providers, insurers, and patients, handling TPAs from receipt to payment.

You will ensure documentation, maintain confidentiality of patient information, and provide enrollment support, pharmacovigilance reporting, and data privacy compliance.

Qualifications

• 1-10 years of experience in a similar role within the medical services industry.
• Strong understanding of Documentation, Enrollment, Health Insurance, Pharmacovigilance, Data Privacy principles.
• Excellent communication skills for effective coordination with various stakeholders.

Responsibilities

• Coordinate with healthcare providers, insurance companies, and patients to resolve claims-related issues.
• Process and manage TPA (Third Party Administrator) claims from receipt to payment.
• Ensure accurate documentation of all claim-related activities and maintain confidentiality of sensitive patient information.
• Provide support specialist services such as enrollment assistance, pharmacovigilance reporting, and data privacy compliance.

Skills

Documentation

Enrollment

Health Insurance

Pharmacovigilance

Data Privacy

Job description

Roles and Responsibilities :

• Coordinate with healthcare providers, insurance companies, and patients to resolve claims-related issues.
• Process and manage TPA (Third Party Administrator) claims from receipt to payment.
• Ensure accurate documentation of all claim-related activities and maintain confidentiality of sensitive patient information.
• Provide support specialist services such as enrollment assistance, pharmacovigilance reporting, and data privacy compliance.

Job Requirements :

• 1-10 years of experience in a similar role within the medical services industry.
• Strong understanding of Documentation, Enrollment, Health Insurance, Pharmacovigilance, Data Privacy principles.
• Excellent communication skills for effective coordination with various stakeholders.