Location: Apex Multispeciality Hospital, Bellahalli main road, near Reva university, Bengaluru.
Job Summary:
The Billing & Insurance Executive is responsible for handling patient billing, insurance processing, and coordination with TPAs to ensure accurate and timely claim submission and settlement.
Key Responsibilities:
- Prepare and process patient bills for OPD, IPD, and emergency services.
- Verify patient insurance details and eligibility.
- Coordinate with TPAs and insurance companies for pre-authorization and claim approvals.
- Submit insurance claims and required documents within stipulated timelines.
- Follow up on pending claims, approvals, and settlements.
- Maintain accurate billing records and insurance documentation.
- Ensure compliance with hospital billing policies and insurance guidelines.
- Handle patient queries related to billing and insurance claims.
- Coordinate with medical, nursing, and accounts departments for proper documentation.
Qualifications:
- Bachelor’s degree in Commerce / Hospital Administration / Any relevant field.
- Knowledge of hospital billing and insurance processes preferred.
Experience:
- 1–3 years of experience in hospital billing or insurance / TPA handling preferred.
Skills Required:
- Positive communication and coordination skills.
- Basic computer knowledge and hospital management software.
- Attention to detail and accuracy in documentation.
- Ability to handle insurance portals and billing systems.