Mediclaim and Billing Executive

Vighnaharta Super Speciality Hospital

Location: Keshavnagar, Mundhwa, Pune, Maharashtra

Job Type: Full-time

Department: Billing and Insurance

Job Summary

Vighnaharta Super Speciality Hospital is looking for a detail-oriented and responsible Mediclaim and Billing Executive to manage hospital billing, health insurance documentation, cashless pre-authorisation, claim processing, and coordination with insurance companies and Third-Party Administrators (TPAs).

Key Responsibilities
Handle IPD, ICU, and other hospital billing activities accurately.
Prepare admission estimates, interim bills, and final discharge bills.
Verify patient insurance details, policy coverage, and eligibility.
Process cashless pre-authorisation and enhancement requests.
Coordinate with insurance companies and TPAs for approvals and claim settlements.
Collect and verify required medical documents for claim submission.
Follow up on pending claims, insurance queries, deductions, and rejections.
Coordinate with doctors, nursing staff, pharmacy, accounts, and reception.
Explain billing details, insurance deductions, and patient-payable amounts.
Maintain accurate billing records and insurance claim reports.




Ensure timely submission of claims and proper documentation.
Maintain patient confidentiality and follow hospital policies.

Requirements
Graduate in Commerce, Accounting, Finance, Hospital Administration, or a related field.
1–3 years of experience in hospital billing, mediclaim, or insurance coordination preferred.
Knowledge of cashless insurance, reimbursement claims, and TPA processes.
Familiarity with hospital management software and MS Excel.
Robust communication, numerical, documentation, and follow-up skills.
Ability to work under pressure and meet deadlines.
Freshers with relevant knowledge may also apply.

Preferred Skills
Hospital Billing
Mediclaim Processing
Cashless Insurance Coordination
TPA Coordination
IPD and ICU Billing
Claim Submission and Follow-up
MS Excel and Hospital Management Software
Patient Service and Documentation

How to Apply Interested candidates can apply through Indeed with their updated resume.

Job Location: Keshavnagar, Mundhwa, Pune, Maharashtra.

Pay: ₹10,000.00 - ₹35,000.00 per month

Advantages
Versatile schedule

Work Location: In person

📌 Mediclaim And Billing Executive Pune
🏢 VIGHNHARTA SUPER SPECIALITY HOSPITAL
📍 Pune