As the TPA Coordinator at SAKET HOSPITAL PRAYAGRAJ, you will be the main liaison for all insurance matters, reporting directly to the Hospital Director within the Billing department. Your core objective is to guarantee a smooth cashless treatment journey for patients, while achieving absolute accuracy in claim processing and securing prompt hospital reimbursements. Key duties involve managing the full cycle of private insurance claims, which includes verifying policy details, initiating Pre-Authorization requests, addressing queries, and handling final discharge procedures. You will also serve as the principal coordinator for the PMJAY (Ayushman Bharat) scheme, responsibilities covering patient identification, Package Blocking, and uploading necessary clinical evidence. This role demands meticulous attention to detail to maintain financial integrity and patient satisfaction in a hospital setting.