- Handle cashless admission, pre-authorization and approval process.
- Verify insurance/TPA eligibility and patient documents.
- Prepare and submit pre-authorization, enhancement and final approval requests.
- Coordinate with doctors, nursing, MRD, billing and accounts departments.
- Prepare accurate IPD bills as per TPA/insurance tariff and hospital guidelines.
- Ensure complete documentation for claim submission and discharge.
- Handle TPA queries, deductions, rejections and pending documents.
- Follow up with TPAs/insurance companies for claim settlement and outstanding payments.
- Maintain TPA files, claim trackers and daily/monthly MIS reports.
- Reconcile TPA settlements with hospital records and coordinate with Accounts.
- Explain cashless/insurance billing procedures to patients and attendants.
- Ensure confidentiality and compliance with hospital and TPA policies.

Pay: ₹25,000.00 - ₹40,000.00 per month

Perks:
- Provident Fund

Work Location: In person

📌 TPA Billing Executive (Aundh)
🏢 Medipoint Hospital Pvt
📍 Aundh