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Hospital Billing Specialist
2 weeks ago
We are seeking an experienced professional to fill the role of Billing and TPA Executive. This individual will be responsible for handling in-patient and out-patient billing processes, ensuring timely and accurate processing of claims.
Key Responsibilities:
- Coordinate with insurance companies, TPAs, and patients to facilitate smooth cashless approvals and claims submissions.
- Prepare and verify bills, maintain records, and ensure compliance with regulatory requirements.
- Follow up on pending claims, denials, and settlements to minimize delays and maximize revenue.
- Collaborate with doctors, patients, and internal departments to ensure timely billing closure and maintain effective communication channels.
- Develop and maintain MIS reports to support audits and improve operational efficiency.
Requirements:
- Graduate in Commerce or Healthcare Management (preferably).
- 1–3 years of experience in hospital billing/TPA operations.
- Knowledge of insurance processes, coding systems, and hospital billing software.
- Strong communication skills (English, Hindi, Gujarati) and ability to work in a fast-paced environment.
- Excellent problem-solving and analytical skills to handle complex billing issues.
