TPA Staff

Drlogy Technologies Pvt. Ltd.; Jaipur; Presencial; INR 250 000 - 420 000; Tempo integral

Resumo da oferta

Tokas Medicity, located on NH-52 in Jaipur, seeks a TPA Staff to coordinate insurance and cashless hospitalization processes. You will verify insurance details, manage documentation, and liaise with patients, insurers, and TPAs from an office-based role.

Ideal candidates have 1-3 years of experience in TPA/insurance, with strong skills in pre-authorization, cashless claims, and documentation. Joining this team means contributing to streamlined insurance workflows within a reputable healthcare

Qualificações

• Minimum 1-3 years of experience in TPA/insurance coordination.
• Familiarity with pre-authorization and cashless hospitalization processes.
• Strong documentation and communication with TPAs and insurers.

Responsabilidades

• Verify patient insurance and TPA eligibility.
• Coordinate cashless admission and treatment authorization.
• Prepare and submit pre-authorization requests.
• Coordinate with insurance companies and TPA representatives.
• Collect and verify required patient and insurance documents.
• Coordinate with billing, medical records, doctors, and nursing teams.
• Follow up on approvals, settlements, and related requests.
• Support discharge authorization and final claim documentation.

Conhecimentos

Pre-authorization

Cashless Claims

Documentation

TPA communication

Formação académica

10+2

Bachelors Degree - B.Com

BBA

Hospital Administration preferred

Descrição da oferta de emprego

Free to Apply Verified Employer Secure & Private No Hidden Charges

Job Requirements

Experience

1 - 3 Years Experience

Education

• 10+2
• Bachelors Degree; B.Com
• BBA
• Hospital Administration preferred

All Gender

Vacancy

1

Last Date to Apply

11, February 2027

Job Role

Work Location

NH-52, Jaipur Road, Jaipur

Work Mode

Work From Office

Department

TPA / Insurance Desk

Role

TPA Staff

Employment type

• Full time

Key Skills

• pre-authorization
• Cashless Claims
• documentation and TPA communication

Preference Languages

Any Language

Job Story

Job Description

A TPA Staff member coordinates insurance and cashless hospitalization processes, verifies patient insurance details, manages documentation, and communicates with patients, insurers, and TPAs.

• Verify patient insurance and TPA eligibility.
• Coordinate cashless admission and treatment authorization.
• Prepare and submit pre-authorization requests.
• Coordinate with insurance companies and TPA representatives.
• Collect and verify required patient and insurance documents.
• Coordinate with billing, medical records, doctors, and nursing teams.
• Follow up on approval, enhancement, and settlement requests.
• Assist with discharge authorization and final claim documentation.
• Check completeness of claim-related documents.
• Respond to patient and attendant queries regarding insurance processes.
• Maintain TPA and insurance records.
• Track pending approvals, claims, and settlements.
• Coordinate clarification of medical and billing documents.
• Prepare insurance/TPA reports and MIS.
• Maintain confidentiality of patient and financial information.

Tokas Medicity is a healthcare institution located in Jaitpura, Rajasthan, committed to promoting health awareness, improving access to quality healthcare, and supporting informed healthcare decisions. The organization combines medical expertise, healthcare resources, and compassionate care with a strong focus on health literacy and ethical medical practices.

Tokas Medicity aims to create a supportive healthcare environment where individuals can access reliable medical information and appropriate healthcare services. Its services include Gastroenterology, Cancer Surgery, Radiotherapy, Radiology, and Gynaecology, reflecting its focus on specialized medical care.

Vision

To empower individuals and communities to lead healthier lives through reliable medical knowledge, accessible healthcare, compassionate service, and continuous improvement in healthcare delivery.

Mission

• To promote health literacy and awareness.
• To facilitate access to quality healthcare.
• To provide reliable and up-to-date medical information.
• To build a supportive and health-conscious community.

Core Values

• Patient-Centred Care
• Trust
• Compassion
• Medical Excellence
• Integrity
• Ethical Practice
• Community Support

Medical Services

Tokas Medicity provides healthcare services in areas including:

• Cancer Surgery
• Radiotherapy
• Radiology
• Gynaecology
• Specialized Medical Consultation
• Health Education and Awareness

What Sets Tokas Medicity Apart?

Trustworthy Medical Information: Tokas Medicity emphasizes accurate and current medical information curated with input from medical experts.

Comprehensive Healthcare Resources: The organization provides information and access related to general health, medical conditions, and healthcare providers.

Community & Support: Tokas Medicity focuses not only on healthcare services but also on creating a supportive community around health and wellness.

Tokas Medicity follows a patient-focused approach emphasizing reliable information, access to quality care, ethical medical practices, and health awareness. Its objective is to help individuals make informed decisions about their healthcare while connecting them with appropriate medical services.

Location

Tokas Medicity NH 52, Industrial Area, Jaitpura, Rajasthan – 303702, India. Phone: [phone] Email: [e-mail]

Our Commitment

Tokas Medicity is committed to empowering people through knowledge, quality healthcare, and compassionate medical support. By promoting health literacy, facilitating access to specialized healthcare, and encouraging ethical medical practices, the organization strives to contribute to healthier individuals and communities.