Tpa Billing Executive

3 days ago


Pune Maharashtra, India Medico Connect Full time

**Job Title: TPA / Billing Executive**

**Contact Mr Nishant Chaudhary WhatsApp +919411466890**

**Location: Talegaon, Pune, Maharashtra**
**Job Type: Full-Time**

About the Role



Key Responsibilities

Handle end-to-end billing process for patients (cash, credit, and insurance).

Coordinate with TPA/Insurance companies for pre-authorization, approvals, and claim settlement.

Prepare and verify patient bills, ensuring accuracy and compliance with hospital policies.

Maintain proper documentation of TPA claims and insurance-related records.

Follow up with TPA/Insurance companies for pending claims and timely reimbursements.

Ensure transparency in patient billing and resolve billing-related queries.

Work closely with the accounts and finance team for reconciliations.

Adhere to hospital policies, statutory requirements, and audit guidelines.



Qualifications & Skills

Graduate in Commerce / Healthcare Administration / relevant field.

1-3 years of experience in hospital billing / TPA coordination.

Good knowledge of TPA processes, medical insurance policies, and healthcare billing.

Proficient in MS Office and hospital management software (HMS).

Strong communication, negotiation, and follow-up skills.

Attention to detail and ability to work under pressure.



Salary & Benefits

Competitive salary based on experience.

Health insurance and staff medical benefits.

Professional growth and training opportunities.



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