
Highly Skilled Hospital Billing Professional
4 days ago
The role of a Billing and TPA Executive involves handling in-patient and out-patient billing processes with precision. This position requires effective coordination with insurance companies, third-party administrators (TPAs), and patients to ensure seamless cashless approvals and claims processing.
Key Responsibilities:
- Process accurate in-patient and out-patient bills.
- Cultivate relationships with insurance companies and TPAs for smooth claims settlements.
- Maintain detailed records and verify bills to ensure compliance with hospital policies.
- Follow up on pending claims, denials, and settlements with insurers.
- Foster collaboration with doctors, patients, and internal departments for timely billing resolution.
- Manage and analyze MIS reports to support audits and quality control measures.
Requirements:
- A degree in Commerce or Healthcare Management is preferred.
- 1–3 years of experience in hospital billing and TPA services.
- Knowledge of insurance processes, coding, and hospital billing systems is essential.
- Excellent communication skills in English, Hindi, and Gujarati are required.
- Strong problem-solving and follow-up abilities are necessary for success in this role.
We offer a supportive work environment and opportunities for professional growth in healthcare administration.
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