Job Vacancy Hyderabad, Telangana, India Position TPA Coordinator at Asha Neuromodulation Clinic (A Unit of Vihanga…

Asha Neuromodulation Clinic (A Unit of Vihanga... is currently accepting applications for the position of TPA Coordinator in the Hyderabad, Telangana area. We are actively seeking qualified candidates for this Full-time opportunity.

We are looking for individuals who possess strong skills and have a minimum of beginners/seniors in the field. Along with technical expertise, we highly value qualities such as integrity, discipline, and a strong sense of responsibility in our potential employees.

Asha Neuromodulation Clinic (A Unit of Vihanga... operates within the (according to the company) industry. If you are interested in joining our esteemed organization, we encourage you to submit your application without delay.

Job Information

Company:	Asha Neuromodulation Clinic (A Unit of Vihanga…
Position:	TPA Coordinator
City:	Telangana, Hyderabad
Province:	Telangana
Education:	Confidential
Salary:	INR 30.000 - INR 35.000 per Month
Job Type:	Full-time

Job Description

Job Summary

As ANC currently operates without direct insurance tie-ups, this role is twofold:

• Network Growth: You will actively visit and negotiate with TPA and Insurance companies to secure official empanelment (cashless tie-ups).
• Patient Support: You will manage the entire reimbursement documentation process for patients, ensuring they have everything required to successfully claim their medical expenses from their respective insurers post-discharge. If required applying for reimbursement on behalf of the patients

Key Responsibilities:

1. Empanelment & Networking (Primary Objective)

• Business Development: Actively visit TPA offices (e.g., Medi Assist, Heritage, Raksha) and Insurance companies to initiate the empanelment process.
• Documentation for Tie-ups: Prepare and submit the “Hospital Empanelment Form” along with required licenses
• Negotiation: Negotiate tariff rates and Service Level Agreements (SLAs) that are favorable to the hospital’s revenue goals.

2. Reimbursement Management (Patient Support)

• Proactive Documentation: Since we are “Non-Cashless,” you will take full ownership of the patient’s reimbursement file. This includes:
• Ensuring the Discharge Summary is clinically detailed to prevent insurer queries.
• Compiling all original reports
• Correctly filling out Part-A and Part-B of the insurance claim forms on behalf of the patient.
• Claim Counseling: Explain to patients exactly how the reimbursement process works, the expected timelines, and what “non-medical” expenses they should be aware of.

3. Knowledge & Compliance

• Market Intelligence: Maintain an updated database of the reimbursement requirements for all major insurers (Star Health, Niva Bupa, HDFC Ergo, etc.) as processes vary between companies.
• Query Resolution: If a patient’s claim is contested, you will act as the hospital’s representative to provide the necessary medical justifications to the insurance company.

Required Skills & Qualifications

• Experience: 3–5 years specifically in TPA Empanelment and Insurance Sales/Operations within the Hyderabad healthcare market.
• Connections: Existing relationships with TPA network managers in Hyderabad is a significant advantage.
• Communication: Exceptional persuasion skills. Must be fluent in Telugu and English to navigate both local patient needs and corporate insurance meetings.
• Technical Knowledge: Deep understanding of why claims get rejected and how to “bulletproof” a reimbursement file.

Performance Metrics (KPIs)

• Number of new TPA/Insurance tie-ups secured per quarter.
• Percentage of patient claims successfully settled (Reimbursement success rate).
• Reduction in patient grievances regarding insurance documentation.

Job Type: Full-time

Pay: ₹30,00.00 – ₹35,00.00 per month

Experience:

• TPA & Insurance Coordinator: 3 years (Preferred)

Language:

• Telugu (Preferred)

Willingness to travel:

• 25% (Preferred)

Work Location: In person

Benefit

• Work-life balance
• Recognition and performance awards
• Professional training
• Valuable work experience
• Skill development
• Professional networking opportunities
• Collaborative work environment
• Opportunities for promotion
• Access to the latest technology
• Opportunities to contribute to business growth

Requirements

• Physically and Mentally Healthy
• Minimum Age of 18 Years
• No Criminal Record
• Experience in the Related Field (Preferred)
• Good Communication Skills
• Minimum Education of High School Diploma
• Able to Work in a Team
• Able to Work Under Pressure
• Willing to Be Placed in the Designated Work Location

Company Address

Province	Hyderabad, Telangana
City	Hyderabad, Telangana
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