A TPA (Third-Party Administrator) billing executive manages health insurance and corporate cashless claims, prepares accurate hospital bills, verifies pre-authorizations, Pre-Authorization and Claim Processing

- Submit pre-authorization requests for cashless treatments within fixed timelines.
- Coordinate with TPA and insurance desks for initial approvals, enhancements, and final discharges.
- Verify patient insurance cards, policy limits, and ID proofs against hospital records.

Billing and Documentation

- Prepare final inpatient (IPD) and outpatient (OPD) bills matching TPA rate lists and room categories.
- Audit treatment sheets, drug indents, lab reports, and doctor notes before submission.
- Attach mandatory discharge summaries, diagnostic reports, and signed claim forms.

Follow-Up and Settlement

- Track pending, deficient, or rejected claims with insurance representatives daily.
- Resolve deduction queries and resubmit corrected files for final settlement.
- Maintain records of realized payments, outstanding amounts, and shortfalls.

Pay: ₹16,029.11 - ₹25,537.45 per month

Advantages:

- Health insurance
- Provident Fund

Work Location: In person

📌 TPA billing executive (India)
🏢 INDUS SUPER SPECIALITY HOSPITAL PANCHKULA SECTOR 15 HARYANA
📍 India