Tpa Executive

Jeena Sikho Lifecare; Gurugram District, Surat, Bengaluru; On-site; INR 279,000 - 335,000; Full time

Job summary

Jeena Sikho Lifecare is seeking an Office Coordinator for TPA and insurance-related activities within the Operations/Administration team. The role covers TPA/insurance coordination, NABH documentation, financial counselling, pharmacy coordination, and occasional reception support to ensure smooth hospital operations.

The incumbent will handle documentation, patient coordination, records, and front desk support as needed, contributing to efficient branch operations and patient care.

Qualifications

• Graduate in any discipline.
• Preference will be given to candidates with hospital/healthcare experience.

Responsibilities

• TPA & Insurance Coordination: handle documentation, cashless approvals, and claim processing.
• NABH Documentation: maintain NABH files; support compliance and records.
• Financial Counselling: explain treatment estimates, billing, and insurance coverage.
• Pharmacy & Operational Support: coordinate with pharmacy, maintain stock records, assist administration.
• Reception & Front Desk Support: handle queries, assist in appointments, ensure smooth patient flow.

Skills

Communication

Hospital operations

TPA processes

NABH standards

MS Office

Education

Graduate

Tools

MS Office

Email

Excel

Job description

Job Title: TPA & Office Coordinator
Department: Operations / Administration
Location: Hospital Branch-Safdarjung, Surat, Gurugram , Bangalore

Budget: 25 - 30K

Job Summary

The Office Coordinator will be responsible for handling day-to-day TPA and insurance-related activities along with supporting branch operations and administrative functions. The role includes coordination of TPA/insurance processes, NABH documentation, financial counselling, pharmacy coordination, and occasional reception support to ensure smooth hospital operations.

Key Responsibilities

TPA & Insurance Coordination

• Handle insurance and panel patient documentation and coordination.
• Maintain records related to cashless approvals and claim processing.
• Coordinate with insurance companies and TPAs for patient cases.
• Ensure timely submission and follow-up of required documents.

NABH Documentation

• Maintain NABH-related files, records, and documentation.
• Support implementation and compliance of NABH standards.
• Coordinate with departments for required operational records.

Financial Counselling

• Guide patients regarding treatment estimates and billing processes.
• Explain insurance coverage and payment procedures to patients and attendants.
• Support billing and payment coordination when required.

Pharmacy & Operational Support

• Coordinate with the pharmacy team for operational support.
• Assist in maintaining stock records and internal coordination.
• Support overall branch administration activities.

Reception & Front Desk Support (Occasionally, as per operational requirement)

• Attend patient queries and coordinate appointments.
• Ensure smooth patient flow and proper communication at the reception.
• Maintain patient records and basic administrative data.

Required Skills

• Good communication and coordination skills.
• Basic knowledge of hospital operations and patient handling.
• Understanding of TPA/insurance processes preferred.
• Knowledge of NABH standards will be an added advantage.
• Basic computer knowledge (MS Office, Email, Excel).

Qualification

• Graduate in any discipline.
• Preference will be given to candidates with hospital/healthcare experience.

Experience

• 1- 3 years of experience in hospital operations, administration, TPA handling, or front desk coordination preferred.

Key Attributes

• Multitasking ability
• Team coordination
• Patient-centric approach
• Good documentation skills
• Ability to work in a fast-paced environment