Job Description

Work Timing:

10:00 AM to 7:00 PM

Weekly Off:

Sunday

Experience Required:

1-3 years in TPA desk, mediclaim, or hospital insurance processes

Education:

Graduate in any stream (Preference for candidates with hospital administration/insurance background)

:

Dr. Kamthe Piles Clinic Pvt. Ltd. is hiring a

TPA Desk Executive

to manage

mediclaim processing, cashless approvals, and patient insurance claims.

The ideal candidate should be experienced in handling

TPA coordination, hospital billing, and insurance settlements.

Key Responsibilities:

? Manage

cashless & reimbursement mediclaim

processes
? Coordinate with

Third-Party Administrators (TPAs)

and insurance companies for approvals
? Verify

policy documents, patient eligibility

, and required paperwork
? Ensure timely submission of

pre-authorization & final settlement claims

? Follow up with TPAs and insurance companies for claim status and pending approvals
? Maintain records of

claims, approvals, and patient documentation

? Assist patients in understanding the

mediclaim process

? Work closely with the

billing & accounts department

for smooth claim settlements

Skills Required:

Knowledge of

TPA & Mediclaim

processes
Experience in handling

hospital insurance claims

Good

communication & coordination skills

Basic computer knowledge & MS Office proficiency

Strong

follow-up skills

with TPAs & insurance providers

Preferred Experience:

Hospital / Healthcare / Insurance Company

experience is preferred Familiarity with

TPA portals & cashless claim processing

Job Type: Full-time

Pay: ?12,000.00 - ?18,000.00 per month

Schedule:

Day shift
Work Location: In person