📌 Job Title: TPA Executive
🏥 Organization: The Fracture Clinic & Trauma Hospital, Mahmoorganj, Varanasi
📍 Location: Varanasi, Uttar Pradesh
🕒 Experience Required: Minimum 2 Years in TPA/Health Insurance Process
💼 Employment Type: Full-Time
💰 Salary Range: ₹15,000 – ₹25,000 per month (Based on experience and skills)
🗓 Joining: Immediate Joiners Preferred
Key Responsibilities:
TPA Coordination & Processing
Handle end-to-end TPA operations including pre-authorization, approvals, discharges, and billing.
Coordinate with TPA representatives and insurance companies for patient claim processes.
Ensure timely submission and tracking of claims and maintain strong follow-up for payments.
Documentation & Record-Keeping
Maintain accurate and up-to-date patient documents, approval letters, discharge summaries, and invoices.
Ensure all paperwork complies with the norms of insurance companies and regulatory bodies.
Advance Excel Reporting
Generate daily/weekly/monthly MIS reports using Advanced Excel (VLOOKUP, Pivot Table, Filters, Charts).
Maintain claim trackers and dashboards for management review.
Soft Skills & Communication
Communicate clearly and politely with patients, relatives, TPA officials, and internal departments.
Resolve queries related to insurance processes in a patient-friendly and professional manner.
Internal Coordination
Liaise with billing, admission, medical, and discharge departments to streamline the TPA process.
Coordinate with consultants and nursing staff for timely document submission.
Compliance
Ensure adherence to insurance guidelines, IRDA norms, and hospital protocols.
Help in audits and maintain confidentiality of patient and claim data.
Candidate Profile:
Education: Graduate in any stream (Preference to BBA, B.Com, or Hospital Administration)
Experience: Minimum 2 years in TPA handling in a hospital setting.
Technical Skills:
Advanced Excel (VLOOKUP, Pivot Tables, Conditional Formatting, Data Validation)
Knowledge of Hospital Management Software (HMS) preferred
Soft Skills:
Strong communication (written and verbal)
Documentation & coordination abilities
Patient-centric approach
Perks:
Professional work environment
Opportunity to grow with an expanding healthcare facility
Exposure to multiple TPAs and cashless operations
📩 To Apply:
Interested candidates can send their resume to hrfracturehospital@gmail.com or contact 8127395238 for walk-in interview.
📍 Location: The Fracture Clinic & Trauma Hospital, Opp. Reliance Petrol Pump, Mahmoorganj, Varanasi