Company Description KIWI Consulting Group is a healthcare consulting company focused on improving performance and revenue outcomes for hospitals, nursing homes, diagnostic centers, and individual practitioners. The team comprises dynamic healthcare professionals with expertise in consulting, revenue cycle management, operations, insurance, technology, market research, quality management, and strategy. The organization delivers solutions through a blend of innovation, practical thinking, and deep domain knowledge, ensuring both stated and unstated client needs are addressed.

KIWI Consulting Group supports clients with services such as hospital management consulting, business development, revenue cycle management, hospital planning and designing, information systems, accreditation, and clinical and compliance consulting. The company operates in a complex healthcare market and is committed to long-term partnerships driven by performance and attention to detail.

Role Description The TPA Billing Executive is a full time, on-site role based in Nagpur, responsible for managing third-party administrator (TPA) billing processes for hospital and healthcare clients. This role includes verifying patient eligibility and policy coverage, collecting and reviewing supporting documents, and preparing accurate TPA claims in line with insurer and client guidelines. The TPA Billing Executive coordinates with hospital billing teams, insurance representatives, and internal consultants to resolve discrepancies,



follow up on pending claims, and ensure timely approvals and payments.

Daily tasks also involve maintaining up-to-date records in relevant billing systems, generating reports on claim status and reimbursements, and escalating issues that may impact client revenue cycles. The role requires adherence to regulatory and payer-specific compliance standards while consistently supporting efficient, transparent billing operations.

Qualifications

- Strong understanding of TPA processes, health insurance concepts, and hospital billing workflows.
- Proficiency in medical billing software, hospital information systems, and basic office productivity tools (e.g., spreadsheets, documentation tools).
- Attention to detail and accuracy in data entry, document verification, and claim preparation.
- Effective communication skills for coordinating with hospital staff, insurance representatives, and internal teams.
- Ability to analyze claim trends, identify discrepancies, and support resolution of billing and reimbursement issues.
- Organizational and time-management skills to handle multiple claims, follow-ups, and reporting deadlines.
- Prior experience in healthcare billing, revenue cycle management, or insurance operations is highly preferred.
- Relevant educational background in commerce, healthcare administration, business, or a related field.
- Commitment to ethical practices, confidentiality, and compliance with regulatory and organizational policies.

📌 TPA Billing Executive (Nagpur)
🏢 KIWI Consulting Group
📍 Nagpur