TPA Mediclaim Expert

The TPA Mediclaim Expert will be responsible for handling mediclaim, insurance, cashless, corporate, pre-authorization, claim documentation, and discharge approval coordination at Magnum Multispeciality Hospital, Nashik. This requires any graduate or hospital administration qualification with 1–2 years of experience, good knowledge of TPA process, documentation accuracy, communication skills, and coordination with billing, doctors, MRD, patients, and insurance providers.

Roles & Responsibilities

• Manage TPA, mediclaim, insurance, corporate, and cashless patient coordination.
• Verify insurance policy details, patient documents, proof, and eligibility requirements.
• Prepare and submit pre-authorization forms, medical documents, and claim papers.
• Coordinate with doctors, billing, MRD, nursing, patients, and insurance companies.
• Track approvals, enhancements, queries, denials, final approvals, and discharge clearance.
• Explain insurance process, documents, approvals, and patient responsibility to attendants.
• Maintain TPA files, claim records, approval letters, query responses, and daily trackers.
• Support discharge billing by coordinating final authorization and insurance clearance.
• Follow up with TPA companies for pending approvals and claim status updates.
• Ensure accuracy in diagnosis details, treatment notes, package information, and billing documents.
• Escalate rejected, delayed, or disputed claims to seniors promptly.
• Maintain confidentiality of patient, insurance, and financial information.
• Prepare MIS reports related to cashless cases, pending claims, and approvals.
• Follow hospital TPA SOPs, documentation standards, and compliance requirements.
• Ensure smooth, timely, and patient-friendly insurance service support.

Magnum Group of Hospitals is one of the leading multi-specialty healthcare networks in Nashik and North Maharashtra, committed to delivering world-class medical care with compassion, innovation, and excellence. Established by Chopda Medicare Institute and Research Centre Pvt. Ltd., the institution has grown from a modest 10-bed hospital into a renowned healthcare group comprising a 75-bed Magnum Heart Institute at Canada Corner and a 150-bed Magnum Multispeciality Hospital at Nashik Road, with a combined capacity of over 225 beds.

With a legacy spanning nearly three decades, Magnum Group of Hospitals has earned the trust of patients across Maharashtra by providing advanced healthcare services at affordable costs. Guided by the vision and leadership of Dr. Manoj Chopda and Dr. (Mrs.) Rashmi Chopda, the hospital group has successfully performed more than 70,000 cardiac procedures and served over 500,000 patients.

Our Vision

Magnum Hospitals is committed to delivering the best healthcare services to humanity through continuous research, medical advancements, and compassionate patient care. The institution strives to provide hassle-free healthcare with a human touch while maintaining the highest standards of quality.

Our Mission

"To adopt the best practices in providing the highest quality care to every category of patient, irrespective of caste, creed, religion, or status, in the most effective manner."

Our Legacy

Beginning as Chopda Medicare Institute, the organization evolved into the 100-bed Magnum Heart Institute, followed by the establishment of the state-of-the-art 150-bed Magnum Multispeciality Hospital at Nashik Road. Today, the group stands as one of the most trusted healthcare providers in North Maharashtra.

Centers of Excellence

Magnum Group of Hospitals provides specialized healthcare services across numerous disciplines, including:

• Cardiology
• Cardiovascular & Thoracic Surgery (CTVS)
• Critical Care Medicine
• Neurology and Neurosurgery
• Nephrology
• Orthopedics
• Gastroenterology
• General Medicine
• Pediatrics
• Dental Care

Supported by highly experienced doctors and multidisciplinary teams, the hospital delivers evidence-based and patient-centered treatment under one roof.

Advanced Healthcare Infrastructure

The hospital group is equipped with state-of-the-art facilities and advanced medical technologies, including:

• 225+ Bed Capacity
• Modern Cath Labs
• Advanced Modular Operation Theatres
• Intensive Care Units (ICUs)
• Dedicated Cardiac, Neuro, Oncology, and Orthopedic ICUs
• ECMO and Intra-Aortic Balloon Pump (IABP) Facilities
• Temporary Pacemakers
• Dialysis Services
• Emergency and Trauma Care
• 24×7 Cardiac and Critical Care Support

These facilities enable the hospital to provide comprehensive and life-saving care for patients with complex medical conditions.

Why Choose Magnum Group of Hospitals?

• Nearly 30 years of healthcare excellence
• More than 70,000 successful cardiac procedures
• 225+ bedded multi-specialty healthcare network
• Over 500,000 satisfied patients
• Advanced medical technologies and infrastructure
• Highly experienced doctors and healthcare professionals
• Affordable and accessible healthcare services
• Strong commitment to quality and compassionate care

Core Values

• Clinical Excellence
• Compassion and Humanity
• Patient-Centered Care
• Integrity and Ethics
• Innovation and Continuous Improvement
• Accessibility and Affordability

Our Commitment

At Magnum Group of Hospitals, we believe healthcare is about saving lives, restoring hope, and improving the well-being of communities. Through cutting-edge technology, skilled medical professionals, and compassionate care, we remain committed to our promise:

"A Promise to Save Life."