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Professional Billing Specialist
2 weeks ago
Healthcare providers must deliver patient-centric care and excellence in clinical services.
We are seeking a skilled Billing & TPA professional to join our team.
Key Responsibilities:
- Ensure accurate and timely processing of in-patient and out-patient billing.
- Coordinate with insurance companies, third-party administrators, and patients for smooth claims approval and settlement.
- Maintain detailed records, verify bills, and ensure compliance with hospital policies.
- Follow up on pending claims, denials, and settlements.
- Collaborate with doctors, patients, and internal departments for efficient billing closure.
- Provide support for audits and maintain management information systems reports.
Requirements:
- Bachelor's degree in Commerce or Healthcare Management (preferred).
- 1–3 years of experience in hospital billing or third-party administration.
- Familiarity with insurance processes, coding, and hospital billing systems.
- Excellent communication skills in English, Hindi, and Gujarati.
- Strong follow-up and problem-solving abilities.