TPA Executive

Drlogy; Jalandhar; On-site; INR 260,000 - 380,000; Full time

Job summary

Drlogy in Jalandhar is seeking a TPA Executive to coordinate insurance and third‑party administrator processes for hospital services, including eligibility verification, cashless coordination, and claim documentation. You will work from the office to support approvals and reimbursements.

The role requires 0–3 years of experience, a graduate degree, and a focus on accuracy in billing and records. Collaboration with doctors, billing, and other departments is essential for timely claims and

Qualifications

• Graduate (any stream); commerce background preferred.
• Experience 0-3 years.
• All gender candidates eligible.

Responsibilities

• 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.

Skills

TPA Management

MIS reporting

Billing coordination

Education

Graduate (Any Stream)

Commerce background preferred

Job description

Free to Apply Verified Employer Secure & Private No Hidden Charges

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 Jalandhar

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.

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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.