Front Office Executive – Billing & TPA
Location: Bangalore
Experience: 2–5 Years
Industry: Healthcare / Hospital
Salary: 20-25K

We are looking for a proactive and customer-focused Front Office Executive – Billing & TPA to join our hospital team. The ideal candidate should have experience in hospital front office operations, OPD/IP billing, and TPA/insurance coordination, with excellent communication and organizational skills.

-Key Responsibilities
-Front Office & Patient ServicesWelcome and assist patients and visitors professionally.Register recent patients and maintain accurate patient records.Schedule, reschedule, and confirm patient appointments.Manage patient check-in and check-out processes.Handle patient inquiries via phone, email, and in person.
-OPD & IP BillingGenerate OPD consultation, investigation, procedure, pharmacy, and daycare bills.Prepare IP admission files and discharge billing.Process advance payments, refunds,



and final settlements.Ensure billing accuracy before patient discharge.Maintain daily billing and cash collection reports.Coordinate with doctors, nursing, laboratory, pharmacy, and other departments for billing activities.
-TPA & Insurance CoordinationHandle cashless and reimbursement insurance cases.Collect and verify insurance-related documents.Submit pre-authorizations to TPAs and insurance companies.Coordinate with insurers for approvals, queries, and discharge clearances.Upload medical records and billing documents on insurance portals.Follow up on pending approvals and maintain claim documentation.
-Administrative ResponsibilitiesMaintain patient records in the Hospital Information System (HIS).Ensure compliance with hospital billing policies and insurance guidelines.Coordinate daily reconciliation with the Accounts team.Prepare daily MIS reports related to billing and TPA cases.Maintain confidentiality of patient information.

-Eligibility
EducationGraduate in any discipline (B.Com/BBA preferred).Certification in Hospital Administr

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