Role & responsibilities

Pre-Authorization & Admission:

- Verify patient health insurance eligibility, policy coverage, and TPA details at the time of admission.
- Prepare and submit cashless pre-authorization and enhancement requests to TPA/insurance portals.

Billing & Documentation:

- Perform accurate inpatient department (IPD) and TPA billing, including implant bills and doctor charges.
- Coordinate with treating doctors, nursing staff, and the Medical Records Department (MRD) to compile complete discharge summaries and medical notes.
- Upload digital files to TPA portals and courier physical hard-copy medical files to insurance companies.

Insurance Coordination & Follow-Ups:

- Liaise daily with TPAs and insurance executives to track claim status, clear pending approvals, and resolve queries or deductions.
- Follow up on outstanding payments and reconcile settled claims with the hospital's accounts department.

Preferred candidate profile

- High attention to detail to prevent claim rejections or calculation errors.
- Ability to perform under pressure in a quick-paced clinical setting.
- Typically 1 to 3 years of hands-on experience in hospital billing, insurance processing, or TPA coordination .

Perks and benefits

📌 Walk-in || TPA Billing Executive (Patna)
🏢 Medaz Hospital
📍 Patna