Role Overview:
Key Responsibilities:
Handle end-to-end TPA / Insurance processes including cashless and reimbursement cases
Manage IPD & OPD billing, ensuring accuracy and compliance with hospital policies
Coordinate with TPAs and insurance companies for pre-authorizations and approvals
Strong understanding of hospital billing, treatment packages, and medical coding.
Handle queries, discrepancies, and rejection management from TPAs/insurers
Ensure timely submission of documents for claim processing
Maintain proper documentation and records for audit and compliance
Work closely with internal teams (billing, medical, operations) for smooth case handling
Use and manage Hospital Information System (HIS) effectively for billing and claims
Build and maintain solid liaisoning with insurance companies and TPAs

Required Skills & Competencies:
Strong knowledge of TPA / Insurance workflows
Good understanding of IPD & OPD billing processes




Expertise in query handling & rejection resolution
Familiarity with HIS (Hospital Information System)
Positive communication and coordination skills
Attention to detail and problem-solving ability
Ability to work in a quick-paced hospital environment

Qualifications:
Graduate in any discipline (Healthcare/Hospital Administration preferred)
Certification or training in Medical Billing / Insurance is an added advantage Preferred Experience:Experience in multi-specialty hospitals / healthcare setups Hands-on exposure to cashless billing and insurance approvals

Pay: ₹9,759.52 - ₹35,000.00 per month

Benefits:
Cell phone reimbursement
Commuter assistance
Food provided
Health insurance
Leave encashment
Provident Fund

Work Location: In person

📌 Tpa Executive Sohna
🏢 Pristyn Care
📍 Sohna