We are arranging a Mega Walkin Drive for TPA Executive (On Roll) at below address and time

Address:

Sir H N Reliance Foundation Hospital, Gate 7

Prarthana Samaj, Raja Ram Mohan Roy Rd, Girgaon, Mumbai, Maharashtra 400004

Date: 12-Aug-2025

Time: 3 PM

Qualification: Any Graduate

Company Overview

Sir H. N. Reliance Foundation Hospital & Research Centre is a leading multi-speciality tertiary care hospital located in Mumbai. Renowned for its state-of-the-art infrastructure and commitment to patient care, the hospital offers advanced diagnostic services and a wide range of specialities, including Cardiac Sciences, Oncology, and Women's Health. Since its inception in 1918, the institution has been synonymous with excellence and innovation in healthcare delivery, reflecting a deep respect for life and legacy of service.

Job Overview

The position of Executive TPA at Sir H. N. Reliance Foundation Hospital & Research Centre is a full-time junior-level role based in Mumbai. The ideal candidate should have between 1 to 3 years of experience and will be responsible for TPA coordination and claims processing. This role requires comprehensive knowledge of health insurance processes and effective patient communication.

Qualifications and Skills

Experience in TPA coordination and handling insurance claims efficiently (Mandatory skill).

Proficiency in processing claims, ensuring compliance with standard procedures (Mandatory skill).

Skillful in patient communication, empathizing and effectively addressing patient queries.

Thorough understanding of health insurance policies and coverage benefits.

Knowledge of hospital management systems to facilitate seamless operations.

Expertise in managing discharge processes, ensuring a streamlined patient experience.

Proficiency in customer relationship management to enhance patient satisfaction.

Strong documentation skills for effective record-keeping and communication with stakeholders.

Roles and Responsibilities

Coordinate with third-party administrators to manage insurance claims processing effectively.

Handle patient inquiries relating to insurance coverage and process medical claims accurately.

Maintain a comprehensive understanding of various health insurance policies available to patients.

Ensure all hospital management systems are updated with patient insurance details and claims status.

Assist in the discharge process, liaising with patients and departments to facilitate timely discharges.

Maintain strong relationships with TPAs and other stakeholders to support seamless operations.

Prepare and manage documentation relating to claims and insurance regularly.

Provide timely and accurate reports on claim status and patient interactions to management.

Documents to Carry:

1.      Updated Resume

2.      Current Appointment Letter / Increment Letter

3.      Last 3 month Salary Slip

4.      Last 2 organisation experience letter

5.      Educational Qualification

Please contact Rohini at +91 8591953641, email: rohini.temkar@rfhospital.org

Warm Regards

HR Team

Reliance Foundation Hospital