Tpa Coordinator

Role & responsibilities

• Coordinate with medical insurance companies for approvals, eligibility checks, claims, and pre-authorizations.
• Verify patients insurance coverage and explain benefits, co-payments, and required documentation.
• Prepare, submit, track, and follow up on insurance claims.
• Resolve claim rejections, denials, and payment discrepancies with insurance providers.
• Maintain accurate patient insurance records and ensure documentation is complete.
• Liaise with doctors, reception staff, billing teams, and insurance representatives.
• Stay informed about insurance policies, clinic procedures, and relevant healthcare regulations in Qatar.

Preferred candidate profile

Need Third-Party Administrator ( TPA )

• Previous experience working with health or medical insurance companies in Qatar.
• Experience in a clinic, hospital, or healthcare setting is preferred.
• Good knowledge of insurance approvals, claims submission, and pre-authorization procedures.
• Strong communication, follow-up, and problem-solving skills.
• Proficiency in English; Arabic is an advantage.
• Ability to work accurately under pressure and manage multiple cases.

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