TPA Coordinator

Roles and Responsibilities :

• Coordinate with healthcare providers, insurance companies, and patients to resolve claims-related issues.
• Process and manage TPA (Third Party Administrator) claims from receipt to payment.
• Ensure accurate documentation of all claim-related activities and maintain confidentiality of sensitive patient information.
• Provide support specialist services such as enrollment assistance, pharmacovigilance reporting, and data privacy compliance.

Job Requirements :

• 1-10 years of experience in a similar role within the medical services industry.
• Strong understanding of Documentation, Enrollment, Health Insurance, Pharmacovigilance, Data Privacy principles.
• Excellent communication skills for effective coordination with various stakeholders.