Job Description

Please Note : Only Hospital Experience Candidate can apply.

Key Responsibilities

Coordinate patient discharge with doctors, nursing staff, and billing department Prepare final bills at the time of discharge for cash and insurance patients Ensure completion of all discharge documentation
TPA & Insurance Handling

Handle end-to-end TPA/insurance cases from admission to discharge Verify insurance eligibility, policy coverage, and exclusions Submit pre-authorization and enhancement requests to TPAs/insurers Follow up with TPAs/insurance companies for approvals and queries
Billing & Claims

Prepare accurate bills as per TPA/insurance agreements and hospital tariffs Ensure correct coding and documentation as per insurer requirements Submit final claims within stipulated timelines Coordinate for claim settlements and resolve rejections or discrepancies
Documentation & Compliance

Maintain complete and accurate patient billing records Ensure compliance with hospital policies, NABH standards, and insurance norms Keep track of pending claims, approvals, and settlements
Coordination & Communication

Act as a liaison between patients, TPAs, insurance companies, doctors, and hospital staff Explain billing and insurance-related queries to patients and attendants Escalate issues related to delayed approvals or settlements
Required Qualifications

Graduate in any discipline (preferred: Healthcare Management / Commerce) Certification or training in Medical Billing / TPA operations is an advantage
Experience

3-5 years of experience in hospital billing and TPA operations Experience in multi-specialty hospital preferred
Skills & Competencies

Strong knowledge of TPA and insurance processes Good understanding of hospital billing systems and tariffs Excellent communication and coordination skills Attention to detail and accuracy Proficiency in hospital information systems (HIS) and MS Office
Key Performance Indicators (KPIs)

Timely discharge processing Accuracy of billing and documentation Reduction in claim rejections Turnaround time for TPA approvals and settlements
Job Types: Full-time, Permanent

Pay: ₹200,633.21 - ₹300,000.00 per year

Benefits:

Cell phone reimbursement Health insurance Provident Fund
Work Location: In person