Job Summary

We are looking for a detail-oriented TPA Billing Executive to manage cashless insurance billing, TPA coordination, patient documentation, and insurance claim processing in a hospital.

Key Responsibilities

- Handle cashless and insurance billing for admitted patients.
- Coordinate with TPAs, insurance companies, and corporate clients.
- Verify patient insurance details, policy validity, and eligibility.
- Process pre-authorization requests and obtain approval from TPAs.
- Prepare and submit medical bills, discharge summaries, and supporting documents.
- Follow up on claim approvals, query resolution, and claim settlements.
- Ensure accurate billing and timely submission of insurance claims.
- Maintain records of approved, pending, and rejected claims.
- Coordinate with doctors, nursing staff, medical records, and the billing department.




- Handle claim discrepancies and insurance-related patient queries.

Required Qualifications

- Graduate in any discipline; healthcare or hospital administration qualifications preferred.
- Experience in hospital TPA billing, cashless insurance, or medical claims processing preferred.
- Knowledge of health insurance policies, pre-authorization, and claim documentation.
- Positive communication, coordination, and computer skills.

Required Skills

- Knowledge of TPA and insurance billing procedures.
- Attention to detail and documentation accuracy.
- Ability to manage multiple claims and deadlines.
- Good coordination with insurance companies and hospital departments.

Pay: ₹20,000.00 - ₹35,000.00 per month

Work Location: In person

📌 TPA/ Billing Manager , Immediate joiner (Raipur)
🏢 Talent Hospital &Healthcare
📍 Raipur