TPA Executive

The TPA Executive will be responsible for handling insurance, cashless, pre-authorization, claim documentation, discharge approval, and claim follow-up activities in the hospital. This requires knowledge of TPA processes, insurance documents, hospital billing coordination, patient communication, and portal handling. The candidate will ensure timely approvals, accurate claim documentation, and smooth support for insured patients.

Roles & Responsibilities

• Handle TPA, insurance, cashless, and reimbursement cases for hospital patients.
• Verify policy details, patient documents, eligibility, and required claim papers.
• Prepare and submit pre-authorization requests through TPA or insurance portals.
• Coordinate with patients, relatives, billing, doctors, nursing, and admission teams.
• Track approval status, queries, enhancements, discharge approval, and claim settlement.
• Maintain records of approved, pending, rejected, and closed insurance cases.
• Submit discharge summary, bills, reports, and treatment documents on time.
• Respond to insurance company queries and coordinate required corrections.
• Guide patients regarding insurance process, documents, shortfall, and approval status.
• Support billing team with package, estimate, final bill, and settlement coordination.
• Prepare daily TPA claim reports and pending case updates.
• Maintain confidentiality of patient and insurance information.

Sunshine Global Hospital is a multi-speciality healthcare institution committed to delivering advanced medical care with a patient-first approach. The hospital focuses on combining clinical expertise, modern technology, and compassionate care to ensure the best outcomes for patients.

Our Story

Sunshine Global Hospital was established with the vision of providing world-class healthcare services under one roof. Over the years, it has developed into a trusted healthcare provider, known for its quality treatment, skilled medical professionals, and commitment to excellence.

Our Mission

• To provide high-quality and affordable healthcare services
• To ensure patient safety and clinical excellence
• To deliver compassionate and ethical care
• To continuously adopt advanced medical technologies

Our Vision

To be a leading multi-speciality hospital recognized for excellence in healthcare services, innovation, and patient satisfaction.

Our Services / What We Offer

Sunshine Global Hospital offers a comprehensive range of medical services:

• Multi-speciality consultations and treatments
• Advanced diagnostic and imaging services
• Surgical and critical care services
• Emergency and trauma care
• Preventive healthcare and wellness programs

Why Choose Us

• Experienced team of doctors and healthcare professionals
• Advanced infrastructure and modern medical technology
• Patient-centric approach with focus on comfort and safety
• Comprehensive healthcare services under one roof
• Commitment to quality and continuous improvement

Our Team

The hospital is supported by a team of skilled doctors, surgeons, nurses, and healthcare staff dedicated to delivering high-quality and compassionate care.

Infrastructure / Technology

Sunshine Global Hospital is equipped with state-of-the-art medical infrastructure, advanced diagnostic equipment, and modern treatment facilities to ensure accurate diagnosis and effective patient care.

Our Commitment

Sunshine Global Hospital is committed to improving healthcare outcomes by delivering safe, reliable, and high-quality medical services. The hospital emphasizes innovation, ethical practices, and patient satisfaction.