Verified Job
Healthcare
TPA Manager (Eye Hospital)
Healthcare
#755685
Remote / WFH
EyeMantra Group of Hospital · New Delhi, Delhi ·
Job Description
Job description
Job Title: TPA Manager
Company: Eye Mantra Hospital
Location: Paschim Vihar West, New Delhi
Department: Insurance / Billing
Salary: 30-50K per month
Apply: 9718766991 (WhatsApp) [rushali@mantra.care]
Job Summary
We are looking for an experienced and responsible TPA Manager to oversee the complete TPA and insurance operations of the hospital. The candidate will be responsible for managing the TPA team, handling insurance claims, coordinating empanelments, ensuring smooth cashless processing, and maintaining strong relationships with insurance companies and TPAs.
Key Responsibilities
• TPA & Claims Management
• Oversee end-to-end claim processing from pre-authorization to final settlement
• Manage cashless and reimbursement claims efficiently
• Coordinate with TPAs and insurance companies for approvals, escalations, and claim settlements
• Ensure timely submission, follow-up, reconciliation, and closure of claims
• Monitor pending claims and resolve discrepancies or claim rejections
• Team Management
• Supervise and manage the TPA/insurance team
• Allocate responsibilities and ensure smooth workflow within the department
• Train team members on claim processes, documentation, and compliance standards
• Ensure departmental targets and operational efficiency are achieved
• Empanelment Management
• Handle hospital empanelments with TPAs, insurance companies, and corporate panels
• Coordinate documentation, agreements, renewals, and compliance requirements
• Maintain relationships with insurance companies and panel representatives
• Explore opportunities for new empanelments and partnerships
• Insurance Patient Coordination
• Support patients regarding insurance approvals, coverage, and documentation
• Resolve patient concerns related to insurance claims and deductions
• Ensure smooth coordination between patients, doctors, billing, and insurance teams
• Government Schemes Handling
• Manage CGHS and other government healthcare scheme claims
• Ensure proper compliance with government claim guidelines and documentation processes
Required Skills
• Strong knowledge of TPA operations, insurance claims, and hospital billing
• Hands-on experience with CGHS and government claim processes
• Leadership and team management abilities
• Excellent coordination and communication skills
• Strong analytical and problem-solving approach
• Attention to detail and documentation accuracy
Qualifications & Experience
• Graduate in any field (Healthcare/Hospital Management preferred)
• 2–3 years of experience in TPA/insurance handling within hospitals
• Prior experience managing a TPA/insurance team preferred
Job Title: TPA Manager
Company: Eye Mantra Hospital
Location: Paschim Vihar West, New Delhi
Department: Insurance / Billing
Salary: 30-50K per month
Apply: 9718766991 (WhatsApp) [rushali@mantra.care]
Job Summary
We are looking for an experienced and responsible TPA Manager to oversee the complete TPA and insurance operations of the hospital. The candidate will be responsible for managing the TPA team, handling insurance claims, coordinating empanelments, ensuring smooth cashless processing, and maintaining strong relationships with insurance companies and TPAs.
Key Responsibilities
• TPA & Claims Management
• Oversee end-to-end claim processing from pre-authorization to final settlement
• Manage cashless and reimbursement claims efficiently
• Coordinate with TPAs and insurance companies for approvals, escalations, and claim settlements
• Ensure timely submission, follow-up, reconciliation, and closure of claims
• Monitor pending claims and resolve discrepancies or claim rejections
• Team Management
• Supervise and manage the TPA/insurance team
• Allocate responsibilities and ensure smooth workflow within the department
• Train team members on claim processes, documentation, and compliance standards
• Ensure departmental targets and operational efficiency are achieved
• Empanelment Management
• Handle hospital empanelments with TPAs, insurance companies, and corporate panels
• Coordinate documentation, agreements, renewals, and compliance requirements
• Maintain relationships with insurance companies and panel representatives
• Explore opportunities for new empanelments and partnerships
• Insurance Patient Coordination
• Support patients regarding insurance approvals, coverage, and documentation
• Resolve patient concerns related to insurance claims and deductions
• Ensure smooth coordination between patients, doctors, billing, and insurance teams
• Government Schemes Handling
• Manage CGHS and other government healthcare scheme claims
• Ensure proper compliance with government claim guidelines and documentation processes
Required Skills
• Strong knowledge of TPA operations, insurance claims, and hospital billing
• Hands-on experience with CGHS and government claim processes
• Leadership and team management abilities
• Excellent coordination and communication skills
• Strong analytical and problem-solving approach
• Attention to detail and documentation accuracy
Qualifications & Experience
• Graduate in any field (Healthcare/Hospital Management preferred)
• 2–3 years of experience in TPA/insurance handling within hospitals
• Prior experience managing a TPA/insurance team preferred
