TPA Executive

Drlogy; Amritsar; Presencial; INR 250 000 - 400 000; Tempo integral

Resumo da oferta

Drlogy invites applications for a TPA Executive in Amritsar to coordinate insurance and third-party administrator processes for hospital patients. The role includes insurance eligibility verification, cashless coordination, and preauthorization management with TPAs and insurers.

You will collect and verify required medical documents, track authorizations, support billing and discharge activities, and maintain accurate records while ensuring timely claim processing in a fast-paced hospital

Qualificações

• Graduate with commerce background preferred.
• 0–3 years of experience.
• All genders welcome.

Responsabilidades

• Verify insurance and TPA eligibility and coverage details.
• Coordinate cashless admission and treatment authorization processes.
• Prepare and submit preauthorization requests with required documents.
• Coordinate with TPAs and insurance companies regarding approvals and queries.
• Collect and verify medical documents required for claim processing.
• Track authorization status and communicate updates to concerned departments.
• Coordinate with doctors for medical summaries, treatment details, and clarifications.
• Coordinate with billing teams regarding approved, non-approved, or partially approved amounts.
• Follow up on pending authorizations and claim-related queries.
• Prepare and submit discharge documents and final claim information.
• Assist patients and attendants with routine insurance and TPA queries.
• Ensure accurate and timely submission of claim files.
• Identify discrepancies in insurance documentation and coordinate correction.
• Maintain records of approvals, rejections, queries, and claim status.
• Coordinate with medical records, billing, nursing, and other hospital departments.
• Support insurance audits, verification, and claim review activities.
• Follow up on rejected, pending, or disputed claims.
• Prepare periodic TPA and insurance claim status reports.
• Maintain confidentiality of patient medical and financial information.
• Follow hospital insurance procedures, TPA requirements, and applicable claim-processing standards.

Conhecimentos

TPA Management

MIS reporting

Billing Coordination

Formação académica

Graduate

Descrição da oferta de emprego

Job Requirements

Experience

0 - 3 Years Experience

Education

• Graduate (Any Stream); Commerce background preferred

All Gender

Vacancy

1

Last Date to Apply

19, March 2027

Job Role

Work Location

Amritsar

Work Mode

Work From Office

Department

TPA , Insurance

Role

TPA Executive

Employment type

• Full time

Key Skills

TPA Management

MIS reporting

Billing Coordination & Query Response

Preference Languages

Any Language

Job Description

TPA Executive is responsible for coordinating insurance and third-party administrator processes for patients receiving hospital services. The includes insurance eligibility verification, preauthorization, cashless coordination, claim documentation, communication with TPAs and insurers, tracking approvals, supporting billing and discharge processes, resolving documentation queries, and maintaining accurate records to facilitate timely and compliant claim processing.

• Verify patient insurance and TPA eligibility and coverage details.
• Coordinate cashless admission and treatment authorization processes.
• Prepare and submit preauthorization requests with required documents.
• Coordinate with TPAs and insurance companies regarding approvals and queries.
• Collect and verify medical documents required for claim processing.
• Track authorization status and communicate updates to concerned departments.
• Coordinate with doctors for medical summaries, treatment details, and clarifications.
• Coordinate with billing teams regarding approved, non-approved, or partially approved amounts.
• Follow up on pending authorizations and claim-related queries.
• Prepare and submit discharge documents and final claim information.
• Assist patients and attendants with routine insurance and TPA queries.
• Ensure accurate and timely submission of claim files.
• Identify discrepancies in insurance documentation and coordinate correction.
• Maintain records of approvals, rejections, queries, and claim status.
• Coordinate with medical records, billing, nursing, and other hospital departments.
• Support insurance audits, verification, and claim review activities.
• Follow up on rejected, pending, or disputed claims.
• Prepare periodic TPA and insurance claim status reports.
• Maintain confidentiality of patient medical and financial information.
• Follow hospital insurance procedures, TPA requirements, and applicable claim-processing standards.

Similar Jobs at Dr Agarwals Eye Hospital

What began as a humble dream in the 1950s has grown into a global legacy of vision care. Founded in 1957 in Chennai by Dr. Jaiveer Agarwal and Dr. Tahira Agarwal, our story started with passion, courage, and just a hundred rupees in hand.

Inspired by the charm of Madras (now Chennai), the visionary couple chose to build a center of excellence - one that would transform millions of lives. Over six decades later, that vision continues to guide us.

Who We Are Today

Today, Dr Agarwals Eye Hospital stands as one of the largest and most trusted eye-care networks across India and Africa.

• Presence across 13 Indian states & 3 union territories
• Expanding footprint in 9 African countries
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• A flagship institution in Chennai known globally for excellence in ophthalmology

Our hospitals are equipped with cutting-edge technology and driven by highly skilled professionals committed to delivering exceptional patient care.

Excellence in Eye Care

We are pioneers in advanced treatments including:

• Cataract procedures
• Retina and cornea care

Our Chennai flagship center also serves as a hub for research, innovation, and academic excellence, nurturing the next generation of eye specialists.

Our Global Vision

From a single clinic in Mauritius to a strong presence across Africa—including Ghana, Kenya, Tanzania, Rwanda, and more—our mission is simple:

To make world-class eye care accessible to everyone, everywhere.

Careers at Dr Agarwals

Join a workplace where purpose meets progress.

We offer:

• Continuous learning and expert training
• Access to advanced medical technologies
• Strong career growth opportunities
• A collaborative and supportive environment
• Global exposure through international networks

Whether you're a doctor or healthcare professional, you’ll be part of a team that values innovation, compassion, and excellence.

Our Future

With strong leadership, visionary founders, and global partnerships, we continue to expand into new geographies while redefining patient experience through innovation.

At Dr Agarwals, we don’t just treat eyes—we transform lives.