Key Responsibilities
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.
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.
Billing & Documentation
Manage inpatient billing and ensure all medical files,
reports, and bills are accurately compiled.
Claim Settlement & Follow-Up
Maintain follow-ups with insurance companies to explicit 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 Mumbai (India)
🏢 Surana Hospital & Research Centre
📍 India