TPA Executive/Sr. Executive/Coordinator

Job highlights

• Graduate in any discipline (preferred)
• Experience Required: 0-5 Years . Department: Billing / TPA
• Coordinate with consultants ,nursing staff, MRD,and other departments for required documents

Key Responsibilities

• Prepare and process TPA/Insurance bills accurately and within timelines.
• Coordinate with insurance companies and TPAs for cashless approvals, claim submissions, and follow-ups.
• Verify patient records, treatment documents, and billing details before claim submission.
• Ensure complete documentation as per TPA and insurance company requirements.
• Follow up on pending claims, deficiencies, rejections, and settlements.
• Maintain records of submitted claims, approvals, payments, and outstanding receivables.
• Coordinate with consultants, nursing staff, MRD, and other departments for required documents.
• Resolve billing-related queries raised by TPAs, insurance companies, and patients.
• Ensure compliance with hospital policies, TPA guidelines, and statutory requirements.
• Prepare daily, weekly, and monthly billing and claim status reports.
• Support internal and external audits related to TPA billing.
• Maintain confidentiality of patient information and hospital records.

Pay: ₹15,000.00 - ₹25,000.00 per month

Work Location: In person