Job Description

Key Responsibilities:

Handle

TPA coordination

, including patient admission, pre-authorization, and approval follow-ups. Prepare and submit

cashless documentation

, discharge summaries, estimates, and required medical records to TPA. Ensure timely

processing of approvals

, extensions, and final authorization letters. Coordinate with doctors, nursing staff, and patients for smooth cashless services. Manage

billing activities

, including generating patient bills, verifying charges, and ensuring accurate entries. Reconcile daily billing, cash collection, and TPA outstanding reports. Maintain updated knowledge of various insurance companies, TPA guidelines, and policies. Address patient queries regarding insurance coverage and billing. Prepare and follow up on

reimbursement claims

until settlement. Maintain records, files, and documentation for audits and compliance. Ensure adherence to hospital billing standards and SOPs.

Skills & Requirements:

Graduate in any stream (Healthcare background preferred). Minimum 1-3 years of experience in TPA/Billing in a hospital setting. Knowledge of insurance processes, TPA portals, and billing software. Good communication and coordination skills. Attention to detail and ability to work under pressure. Basic computer proficiency (MS Office, hospital billing system).

Additional Competencies:

Strong follow-up skills with TPA and insurance representatives. Customer handling and problem-solving attitude. Ability to manage workload in a fast-paced environment.
Job Types: Full-time, Permanent

Pay: ₹15,000.00 - ₹35,000.00 per month

Benefits:

Flexible schedule
Work Location: In person