Key Responsibilities

1. Patient Admissions & Cashless Processing

- Guide patients through the health insurance claim process.
- Review policy details and verify coverage eligibility for planned and emergency admissions.
- Submit pre-authorization requests to TPAs/insurance companies and follow up for timely approvals.

2. Coordination & Liaison

- Serve as the main point of contact between treating doctors, hospital staff, and the insurance company.
- Communicate claim statuses, pending requirements, and approvals to patients' families.

3. Billing & Documentation

- Manage inpatient billing and ensure all medical files,
- reports, and bills are accurately compiled.

4. Claim Settlement & Follow-Up

- Maintain follow-ups with insurance companies to transparent pending or rejected claims.
- Track outstanding payments and ensure the hospital's credit terms are met.




- Handle TPA portals and maintain digital/physical records of all transactions.

Requirements

- Education: Bachelor's degree in any discipline; BCom, BBA, or a degree in Hospital Administration (MHA) is highly preferred.
- Experience: Typically requires 1 to 3 years of hands-on experience in healthcare billing, TPA operations, or insurance coordination.
- Reconcile final bills, implants, and split-billing (e.g., separating doctor charges) according to TPA norms.
- Submit physical and digital copies of patient medical files and discharge summaries to insurers.

Pay: ₹10,076.09 - ₹32,506.53 per month

Work Location: In person

📌 TPA Executive (India)
🏢 Surana Hospital & Research Centre
📍 India