Job Description

Job Title: Insurance Billing ExecutiveLocation:

(Insert Location)

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, and scheme guidelines. Coordinate with TPA representatives, insurance companies, and government scheme portals. Prepare and submit claims as per scheme-specific and TPA requirements. Track claim status, resolve queries, and ensure timely reimbursement. Maintain accurate documentation for audits and compliance. Handle cashless and reimbursement workflows efficiently. Ensure adherence to hospital billing policies and tariff structures. Support patients and their families with insurance-related clarifications. Maintain MIS reports and daily billing summaries.

Skills & Qualifications

Qualification:

Any Graduate

(Preferably B.Com / Healthcare or 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. Good communication, coordination, and problem-solving skills. Ability to work in a fast-paced hospital environment.
Job Type: Full-time

Pay: ₹9,548.71 - ₹33,188.08 per month

Benefits:

Health insurance Provident Fund
Work Location: In person