TPA Executive Job Vacancies in Delhi

Manage empanelment of hospitals with TPAs, insurance companies, corporates, and government schemes. Coordinate and ensure timely submission, follow-up, and closure of empanelment applications. Act as a single point of contact between client hospitals and external stakeholders (TPAs, insurers, regulators). Build and maintain strong client relationships, ensuring high satisfaction and retention. Track and update empanelment status, renewals, and compliance timelines. Support hospitals in meeting accreditation-related requirements for empanelment. Resolve client queries, escalations, and operational issues related to empanelment and accreditation. Maintain accurate documentation, MIS, and reporting for management review. Coordinate with internal quality, accreditation, and operations teams for smooth service delivery.Ensure compliance with regulatory, contractual, and confidentiality requirements.

We are hiring for hospital TPA executive who have experience in government pannel billing and private pannel billing.

Responsible to check the OPD bill of TPA/PSU/Corporate as per their agreed MOU for particular on daily basis.Responsible to check the TPA & PUS (CGHS) OPD (health Insurance) bill as per approved terms & condition by particular TPA.Responsible for final checking (OPD bills) of TPA/Corporate before dispatch for make the payment at particular TPA or Corporate/PSU.Responsible to communicate ant kind of billing error or any kind of document related dispute to OPD Billing team.Responsible for final checking (OPD Bills) of TPA/Corporate/PSU before dispatch for make the payment at particular TPA or corporateCoordinating with IT department regarding any software error on the billing or for any new implementation.Responsible for update the status of dispatch for E-Prapti.Responsible to maintaining a TAT.Responsible to Query reply TPA/Corporate/PSU