Job Opportunity: TPA Insurance Coordinator – ACI Super Speciality Hospital
Location: ACI Super Speciality Hospital, Nalco Square, Bhubaneswar-751023
Position Overview
ACI Super Speciality Hospital is seeking a detail-oriented and proactive TPA Insurance Coordinator to manage Third-Party Administrator (TPA) insurance processes and facilitate seamless interactions between patients, insurers, and the hospital. The ideal candidate will have a strong understanding of insurance protocols, excellent communication skills, and a customer-centric approach to support our world-class healthcare services.
Responsibilities
Insurance Coordination:
- Act as the primary point of contact between the hospital, patients, and TPA/insurance companies.
- Manage pre-authorizations, claim submissions, and approvals for cashless treatments.
- Assist patients in understanding their insurance coverage, terms, and conditions.
Documentation and Claims Processing:
- Verify patient insurance documents and eligibility for TPA services.
- Ensure accurate and timely submission of claims to insurance providers.
- Follow up on claim approvals, rejections, and reimbursements to avoid delays.
Compliance and Record Management:
- Maintain detailed records of insurance claims, approvals, and settlements.
- Ensure compliance with hospital policies, TPA agreements, and insurance guidelines.
- Regularly audit and reconcile claim records to ensure accuracy.
Customer Support:
- Provide guidance and support to patients regarding TPA and insurance-related queries.
- Resolve patient concerns related to insurance claims promptly and professionally.
Collaboration:
- Coordinate with hospital departments, including billing and finance, to streamline the insurance process.
- Build and maintain strong relationships with TPA and insurance company representatives.
Qualifications
Educational Requirements:
- Bachelor’s degree in Business Administration, Healthcare Management, or a related field.
Experience:
- Minimum of 2 years of experience in TPA insurance coordination or a similar role, preferably in a healthcare or hospital setting.
Skills and Knowledge:
- Strong understanding of TPA policies, claim processes, and insurance regulations.
- Proficient in using hospital management systems and TPA software.
- Excellent communication, interpersonal, and problem-solving skills.
- Ability to work in a fast-paced environment with attention to detail.
Why Join Us?
- Be part of a healthcare team delivering exceptional patient care.
- Work in a dynamic environment with opportunities for professional growth.
- Competitive salary and comprehensive benefits package.
How to Apply
Interested candidates are encouraged to send their CV and cover letter to:
ACI Super Speciality Hospital, Near Hotel Suryansh,Nalco Square, Bhubaneswar-751023
OR
Email - m.biswal@acihospitals.com
Disclaimer:
This job posting is published on a third-party website and is based on information obtained from external sources, not directly from ACI Super Speciality Hospital. It is intended solely for informational purposes to assist candidates. We are not responsible for the authenticity, accuracy, or any actions related to the recruitment process. Candidates are advised to verify the details independently before proceeding.
