Job Description

Job Title:

Insurance Billing Executive

Location: Hyderabad

Experience Required:

Minimum

6 months to 1 year

of experience in hospital/healthcare insurance billing.

We are seeking a skilled

Insurance Billing Executive

to manage and process insurance-related activities for government health schemes and private insurance providers.
The ideal candidate should have hands-on experience in handling:

CGHS

(Central Government Health Scheme)

ECHS

(Ex-Servicemen Contributory Health Scheme)

ESIC

(Employee State Insurance Corporation)

Railway Insurance Cases

GIPSA Packages

Ayushman Bharat - PMJAY

All major TPAs and Insurance Companies

Key Responsibilities

Process insurance claims, pre-authorizations, approvals, and discharges. Verify patient eligibility, coverage criteria, and scheme guidelines. Coordinate with TPA representatives, insurance companies, and government portals. Prepare and submit claims as per TPA/scheme requirements. Track claim status, resolve queries, and ensure timely reimbursement. Maintain accurate documentation for audits and compliance. Handle both cashless and reimbursement workflows efficiently. Ensure adherence to hospital billing policies and tariff structures. Assist patients and families with insurance-related clarifications. Maintain MIS reports and daily billing summaries.

Skills & Qualifications

Qualification:

Any Graduate (Preference: B.Com or Healthcare/Finance-related degrees). Minimum

6 months to 1 year

of experience in hospital insurance billing. Strong knowledge of government health schemes and TPA processes. Proficiency in hospital billing software and MS Office. Strong communication, coordination, and problem-solving skills. Ability to work efficiently in a fast-paced hospital environment.
Job Type: Full-time

Pay: ₹15,000.00 - ₹30,000.00 per month

Work Location: In person