OPD/IPD/TPA Professional

OPD (Outpatient Department):

• Manage patient registration, appointment scheduling, and billing.

• Guide patients to consultation rooms, diagnostic services, and procedures.

• Ensure smooth patient flow and address patient queries/grievances.

• Maintain OPD records, registers, and prepare daily MIS reports.

IPD (Inpatient Department):

• Handle patient admission, transfer, and discharge processes.

• Coordinate with nursing, billing, pharmacy, and support services for seamless patient care.

• Maintain accurate records, consent forms, discharge summaries, and bed occupancy status.

• Guide patients/attendants about admission procedures, billing estimates, and hospital policies.

• Collect patient feedback during discharge for quality improvement.

TPA (Third Party Administrator / Insurance Desk):

• Process cashless admission and discharge for insured patients.

• Verify insurance documents, policy details, and eligibility.

• Liaise with insurance companies/TPAs for pre-authorization and approvals.

• Prepare and submit claims with proper documentation (bills, reports, discharge summaries).

• Ensure timely follow-up for settlement and update patients on approval/rejection status.

• Maintain TPA MIS reports and ensure compliance with IRDA/hospital norms.

• Graduate in any discipline (preferably in Hospital Administration, Commerce, or related field).

• Minimum 1-2 years of experience in OPD, IPD, or TPA desk preferred.

• Familiarity with hospital processes and insurance claim procedures desirable.

• Strong communication and interpersonal skills.

• Proficiency in MS Office and Hospital Information Systems (HIS/ERP).

• Patient-centric approach with empathy and courtesy.

• Ability to multitask and work under pressure.

• Attention to detail in documentation and claim processing.

• Teamwork and problem-solving attitude.