TPA Executive

Experienced TPA Executive responsible for managing insurance approvals, cashless hospitalization processes, claim documentation, and patient insurance support services.

Roles & Responsibilities

• Coordinate insurance approval processes efficiently.
• Verify patient insurance eligibility and coverage.
• Process pre-authorization and claim documentation.
• Coordinate with TPAs and insurance providers.
• Maintain insurance records and claim files.
• Resolve insurance-related patient queries.
• Monitor pending claims and approvals.
• Ensure compliance with insurance guidelines.
• Coordinate with billing and clinical departments.
• Support reimbursement claim processing activities.
• Generate insurance reports and summaries.
• Maintain confidentiality of patient information.
• Participate in audits and compliance reviews.
• Ensure timely document submission.
• Contribute to efficient insurance operations.

Shalby Multi-Specialty Hospital, Indore is one of the leading multi-specialty hospitals in Indore, located at Janjeerwala Square, Race Course Road. It is part of the well-known Shalby Hospitals healthcare network founded by Dr. Vikram Shah, which is especially recognized for joint replacement and orthopedic care.

Key Highlights

• Multi-specialty tertiary care hospital
• 24×7 Emergency & Trauma services
• NABH & NABL accredited healthcare standards
• Advanced ICU and modular operation theatres
• Strong expertise in Orthopedics & Joint Replacement
• Organ transplant services including kidney and liver transplant
• Modern cancer treatment facilities
• Experienced team of doctors, nurses, and healthcare professionals

Major Specialties

• Orthopedics & Joint Replacement
• Cardiology & Cardiac Surgery
• Neurology & Neurosurgery
• Oncology (Cancer Care)
• Gastroenterology
• Nephrology & Kidney Care
• Urology
• Critical Care
• Gynecology & Obstetrics
• Pathology & Diagnostics
• Emergency Medicine

Hospital Facilities

• Around 200+ beds
• ICU, NICU, PICU facilities
• 9 modular operation theatres
• Advanced diagnostic imaging
• Pharmacy & laboratory services
• Cashless insurance support
• International patient services