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
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