Verified Job
Nurse / Compounder
TPA Head
Nurse / Compounder
#723069
Remote / WFH
The Healing Touch Eye Centre
Job Description
Job Summary:
The TPA Head is responsible for managing all Third Party Administrator (TPA) and insurance-related processes, ensuring smooth cashless approvals, timely claim processing, and maintaining strong relationships with insurance companies and TPAs.
Key Responsibilities:
• Handle end-to-end TPA operations for IPD & OPD cases
• Coordinate with doctors, billing, and front office teams for documentation
• Monitor and follow up on pending claims and rejections
• Ensure proper submission of online & offline claims
• Manage escalations related to insurance and TPA issues
• Maintain strong relationships with insurance companies & TPAs
• Train and supervise TPA executives and billing staff
• Prepare daily, weekly, and monthly MIS reports
• Handle audits related to insurance and TPA processes
Key Skills & Competencies:
• Strong knowledge of TPA processes and insurance policies
• Experience in eye hospital or healthcare setup preferred
• Good communication and negotiation skills
• Problem-solving and decision-making skills
• Proficiency in hospital management systems and MS Office
Experience:
• Minimum 8–15 years of experience in TPA/Insurance department
• At least 6 years in a senior or managerial role
# Immediate Joiner
# Eye Hospital Experience are Preferred
# Contact: 9971143824, 9289307445
Email ID: thehealingtouch .hr1gmail.com
Pay: ₹60,000.00 - ₹80,000.00 per hour
Benefits:
• Paid sick time
• Provident Fund
Work Location: In person
The TPA Head is responsible for managing all Third Party Administrator (TPA) and insurance-related processes, ensuring smooth cashless approvals, timely claim processing, and maintaining strong relationships with insurance companies and TPAs.
Key Responsibilities:
• Handle end-to-end TPA operations for IPD & OPD cases
• Coordinate with doctors, billing, and front office teams for documentation
• Monitor and follow up on pending claims and rejections
• Ensure proper submission of online & offline claims
• Manage escalations related to insurance and TPA issues
• Maintain strong relationships with insurance companies & TPAs
• Train and supervise TPA executives and billing staff
• Prepare daily, weekly, and monthly MIS reports
• Handle audits related to insurance and TPA processes
Key Skills & Competencies:
• Strong knowledge of TPA processes and insurance policies
• Experience in eye hospital or healthcare setup preferred
• Good communication and negotiation skills
• Problem-solving and decision-making skills
• Proficiency in hospital management systems and MS Office
Experience:
• Minimum 8–15 years of experience in TPA/Insurance department
• At least 6 years in a senior or managerial role
# Immediate Joiner
# Eye Hospital Experience are Preferred
# Contact: 9971143824, 9289307445
Email ID: thehealingtouch .hr1gmail.com
Pay: ₹60,000.00 - ₹80,000.00 per hour
Benefits:
• Paid sick time
• Provident Fund
Work Location: In person
