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-XXXXXXXXXX

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

Work Location: In person

📌 Insurance Billing Somajiguda (India)
🏢 Zoi Hospital
📍 India