Job Description

Job Title: Billing and TPA Executive

Department

: Billing / TPA

Location:

Jinkushal Cardiac Care and Superspecialty Hospital, Thane

Job Type:

Full-Time

1

Job summary

The Billing and TPA Executive is responsible for managing patient billing, coordinating with Third-Party Administrators (TPAs), and ensuring timely and accurate claim processing, pre-authorizations, and settlements in compliance with hospital policies and TPA guidelines.

2

Key Responsibilities

Billing Duties:

Generate and process inpatient and outpatient bills accurately using hospital billing software. Verify and update patient details, services rendered, and charges. Coordinate with doctors and departments for final bill preparation. Ensure timely billing and discharge processes. Handle cash, card, and digital payments; issue receipts. Maintain billing records and reports for audit and compliance.

TPA Coordination:

Coordinate with TPA desk for pre-authorization, approvals, and final settlements. Submit required documents (preauth forms, investigation reports, discharge summary) to respective TPAs or insurance companies. Track the status of submitted claims and ensure timely follow-ups. Maintain communication with TPA representatives and resolve queries or discrepancies. Ensure all documentation is complete and submitted within timelines to avoid claim rejections. Monitor and reconcile TPA payments with the finance department.
Job Type: Full-time

Pay: ₹15,000.00 - ₹22,000.00 per month

Benefits:

Paid time off Provident Fund
Work Location: In person