Roles &

Responsibilities of a IP Billing Executive in a Hospital:

- Verify insurance policies, patient eligibility, coverage, exclusions, sub-limits and validity at the time of admission.

- Coordinate with insurance companies and TPAs for timely submission and approval of pre-authorization requests.

- Ensure complete patient documentation, including ID proof, insurance cards, medical records, investigation reports and required declarations.

- Prepare and verify accurate inpatient bills, ensuring correct tariff application, package charges, consumables, pharmacy and investigation charges.

- Process enhancement requests for additional treatment, extended hospitalisation and increased insurance coverage.

- Coordinate with the treating consultant, nursing team, medical records and insurance desk to ensure timely discharge clearance.

- Prepare and submit complete final bills and supporting documents to insurance companies and TPAs within defined timelines.





- Address insurance and TPA queries promptly and coordinate with concerned departments for necessary clarifications.

- Track claim status, pending approvals, deductions, rejections and outstanding payments.

- Identify reasons for claim rejection or deductions and coordinate for corrections, resubmissions and appeals.

- Explain insurance coverage, non-payable items, co-payments, exclusions and patient liabilities clearly.

- Maintain daily records of admissions, approvals, pending enhancements, discharges, claims submitted and outstanding amounts.

- Ensure adherence to hospital billing policies, insurance guidelines, TPA requirements and applicable regulatory standards.

Educational Qualification

- Graduate in any discipline.

Experience

- 2–4 years of experience in IP Billing / Insurance / TPA

- Experience in a multispeciality hospital is preferred.

- Share your resume at +91 (phone hidden)

Pay: ₹20,000.00 - ₹25,000.00 per month

Work Location: In person

📌 Insurance Billing (Somajiguda)
🏢 Zoi Hospital
📍 Somajiguda