TPA Doctor

Vedansh Superspeciality Hospital; Greater Noida; On-site; INR 800,000 - 1,500,000; Full time

Job summary

Vedansh Superspeciality Hospital in Greater Noida seeks a TPA Doctor to support patient care while coordinating third-party insurance claims, documentation, and Ayushman Bharat filing. The role combines clinical duties with precise claim processing and hospital coordination.

The role blends clinical duties with accurate claim processing, in-person work, and collaboration with consultants, nurses, and staff to ensure timely approvals and high-quality care.

Qualifications

• MBBS degree from a recognized medical college.
• 3-4 years of experience preferred, especially in TPA and Ayushman Bharat filing.
• Full-time; in-person work in Greater Noida.

Responsibilities

• Oversee patients' medical needs and coordinate with departments for timely interventions.
• Handle TPA coordination for insurance claims, documentation, and approvals.
• Manage filing and processing of Ayushman Bharat claims with accurate documentation.
• Attend patient consultations and provide emergency medical care when required.
• Maintain accurate patient records for treatment and audits.
• Act as liaison between patients, TPA coordinators, and hospital administration.
• Collaborate with consultants, nurses, and administrative staff to ensure quality care.
• Respond to emergencies with immediate medical assistance.
• Ensure compliance with hospital policies, insurance guidelines, and medical protocols.

Skills

TPA processes

Insurance documentation

Communication skills

Stress management

Medical record-keeping

Education

MBBS from a recognized institution

Job description

3-4 years preferred, especially in TPA and Ayushman Bharat filing

We are seeking a TPA Doctor to support patient care while coordinating third-party insurance claims, documentation, and Ayushman Bharat filing. The role combines clinical duties with accurate claim processing and hospital coordination.

Job Summary

The TPA Doctor will oversee patients medical needs, coordinate with clinical and administrative teams, and support timely processing of insurance and Ayushman Bharat claims.

Job Responsibilities

• Oversee and manage patients medical needs and coordinate with departments for timely medical interventions.
• Handle Third-Party Administrator (TPA) coordination for insurance claims, documentation, and approvals.
• Manage filing and processing of Ayushman Bharat claims, ensuring timely approvals and accurate documentation.
• Attend patient consultations, perform necessary medical procedures, and provide emergency care when required.
• Maintain accurate patient records, including treatment and medication details, for follow-up and audits.
• Act as a liaison between patients, TPA coordinators, and hospital administration to support smooth claim processing.
• Work closely with consultants, nurses, and administrative staff to provide quality patient care.
• Respond to emergency medical situations and provide immediate medical assistance as required.
• Ensure compliance with hospital policies, insurance guidelines, and medical protocols.

Qualifications & Experience

• MBBS from a recognized institution.
• 3-4 years of experience preferred, particularly in TPA and Ayushman Bharat filing.
• Total work experience of 1 year is listed as preferred.
• Full-time employment; work location is in person in Greater Noida.

Skills Required

• Strong understanding of TPA and insurance processes.
• Familiarity with Ayushman Bharat scheme documentation.
• Excellent communication and interpersonal skills.
• Ability to handle stressful situations in a clinical environment.
• Proficiency in medical record-keeping and documentation.

Employment Details

• Job title: TPA Doctor Profile.
• Job type: Full-time.
• Work location: In person, Greater Noida.