Roles and Responsibilities

- Cashless Approvals: Coordinate with insurance companies and TPAs for pre-authorisation requests, extensions, and final approvals.

- Patient Verification: Verify patient policy details, coverage limits, and package entitlements during admission.

- Billing Coordination: Work closely with the IPD (In-Patient Department) billing, pharmacy, and medical staff to prepare accurate claim files.

- Query Resolution: Address claim rejections, deductions, and follow up on pending payments with insurers

Skills and Qualifications

- Education: A Bachelors degree in any discipline; degrees in Hospital Administration, Healthcare Management, or Commerce are preferred.

- Experience: Typically requires 2 to 5 years of relevant experience in a hospital's insurance or billing department.

- Technical Skills: Proficiency in MS Excel, hospital management software, and medical billing tools.

- Soft Skills: Solid communication, negotiation, and organisational abilities to handle pressure and patient coordination.

📌 Tpa Billing Executive (New Delhi)
🏢 Sama Hospital
📍 New Delhi