Jasleen Babbar

To Secure a Challenging positive in my field of education where I can effectively contribute my skills and knowledge to the development of the organization's growth. Knowledge of these government panels is highly valued for TPA and Billing roles because they follow strict, specific protocols separate from private insurance.

TPA Coordinator - DR. OM PARKASH EYE INSTITUE - Amritsar, Punjab

(2025-08)

• Claims Management: Handle the accurate submission and tracking of both cashless and reimbursement medical claims to various TPAs and insurance providers.
• Pre-Authorization: Facilitate the approval process for medical procedures by coordinating with doctors to obtain necessary medical records and submitting pre-auth requests within strict deadlines (often within 24 hours of admission).
• Eligibility Verification: Review and verify patient insurance policies, photo IDs, and coverage limits at the time of admission to determine benefit eligibility.
• Discrepancy Resolution: Actively follow up on pending claims, resolve queries or rejections, and handle the resubmission of corrected documentation.
• Patient Counseling: Provide guidance to patients and their families regarding insurance terms, approval status, and claim procedures to ensure a smooth discharge process.
• Reporting & MIS: Maintain daily MIS (Management Information System) reports on claim statuses, Turnaround Time (TAT), and overall TPA performance for management review.
• Compliance: Ensure all documentation adheres to IRDAI (Insurance Regulatory and Development Authority of India) norms and internal hospital billing protocols.
• Inter-departmental Coordination: Work closely with the billing, finance, and nursing departments to align medical documents with billing requirements

TPA handler - Care and Cure medicity Hospital - Amritsar, Punjab

(2024-10 - 2025-07)

• Responsible for initiating and managing insurance case intimations for both cashless and reimbursement claims.
• Coordinated with insurance companies and TPAs to ensure timely approval and processing of patient claims.
• Verified policy details, pre-authorization documents, and patient records to support accurate claim submission.
• Maintained clear communication with patients, billing departments, and insurers for seamless claim handling.
• Ensured compliance with hospital policies and insurance guidelines to minimize claim rejections or delays.
• Assisted in preparing daily reports and maintained accurate records for audit and follow-up.

IELTS trainer - CM Study solutions - Amritsar, Punjab

(2023-11 - 2024-07)

Matriculation - SSSS modern high School (2020 - 2021)

Senior Secondary - Non-Medical - SSSS modern high School (2022 - 2023)

Bachelor of BD Interior - Interior Design - BBK DAV college (Guru Nanak Dev University board) (2025)