TPA/ Billing Manager , Immediate joiner

Job Summary

We are looking for a detail-oriented TPA Billing Executive to manage cashless insurance billing, TPA coordination, patient documentation, and insurance claim processing in a hospital.

Key Responsibilities

• Handle cashless and insurance billing for admitted patients.
• Coordinate with TPAs, insurance companies, and corporate clients.
• Verify patient insurance details, policy validity, and eligibility.
• Process pre-authorization requests and obtain approval from TPAs.
• Prepare and submit medical bills, discharge summaries, and supporting documents.
• Follow up on claim approvals, query resolution, and claim settlements.
• Ensure accurate billing and timely submission of insurance claims.
• Maintain records of approved, pending, and rejected claims.
• Coordinate with doctors, nursing staff, medical records, and the billing department.
• Handle claim discrepancies and insurance-related patient queries.

Required Qualifications

• Graduate in any discipline; healthcare or hospital administration qualifications preferred.
• Experience in hospital TPA billing, cashless insurance, or medical claims processing preferred.
• Knowledge of health insurance policies, pre-authorization, and claim documentation.
• Good communication, coordination, and computer skills.

Required Skills

• Knowledge of TPA and insurance billing procedures.
• Attention to detail and documentation accuracy.
• Ability to manage multiple claims and deadlines.
• Good coordination with insurance companies and hospital departments.

Pay: ₹20,000.00 - ₹35,000.00 per month

Work Location: In person