Front Desk Receptionist

Front Office Executive – Billing & TPA

Location : Bangalore

Experience : 2–5 Years

Industry : Healthcare / Hospital

Salary : 20-25K

We are looking for a proactive and customer-focused Front Office Executive – Billing & TPA to join our hospital team. The ideal candidate should have experience in hospital front office operations, OPD/IP billing, and TPA/insurance coordination, with excellent communication and organizational skills.

-Key Responsibilities

-Front Office & Patient ServicesWelcome and assist patients and visitors professionally.Register new patients and maintain accurate patient records.Schedule, reschedule, and confirm patient appointments.Manage patient check-in and check-out processes.Handle patient inquiries via phone, email, and in person.

-OPD & IP BillingGenerate OPD consultation, investigation, procedure, pharmacy, and daycare bills.Prepare IP admission files and discharge billing.Process advance payments, refunds, and final settlements.Ensure billing accuracy before patient discharge.Maintain daily billing and cash collection reports.Coordinate with doctors, nursing, laboratory, pharmacy, and other departments for billing activities.

-TPA & Insurance CoordinationHandle cashless and reimbursement insurance cases.Collect and verify insurance-related documents.Submit pre-authorizations to TPAs and insurance companies.Coordinate with insurers for approvals, queries, and discharge clearances.Upload medical records and billing documents on insurance portals.Follow up on pending approvals and maintain claim documentation.

-Administrative ResponsibilitiesMaintain patient records in the Hospital Information System (HIS).Ensure compliance with hospital billing policies and insurance guidelines.Coordinate daily reconciliation with the Accounts team.Prepare daily MIS reports related to billing and TPA cases.Maintain confidentiality of patient information.

Eligibility

EducationGraduate in any discipline (B.Com/BBA preferred).Certification in Hospital Administration or Medical Billing is an added advantage.

Required Skills

Knowledge of Hospital Information Systems (HIS).Hands-on experience in OPD & IP billing.Understanding of TPA and insurance claim processes.Good communication and interpersonal skills.Proficiency in MS Excel, MS Word, and email communication.Strong customer service orientation.Ability to multitask and work under pressure.

Preferred Knowledge

Cashless authorization process.Medical terminology.Health insurance documentation.NABH documentation practices.Oncology billing (preferred).

-Key Performance Indicators (KPIs)

Maintain billing accuracy of 99% or above.Timely submission of insurance pre-authorizations.Minimize billing errors and claim rejections.Deliver excellent patient service at the front office.Complete daily billing and cash reconciliation on time