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.
Valuable 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.
Positive 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 (India)
🏢 Talent Hospital &Healthcare
📍 India