Tpa / Billing Executive Srv Hospital

1 day ago

Chembur Mumbai Maharashtra, India SRV Hospital Full time

Billing / TPA Executive at SRV Hospital Kurla, Chembur Near Tilak Nagar Station

SRV Group of Hospital Multispeciality with 500 Beds across Banglore, Nasik, Mumbai-Goregaon, Dombivali, Kurla Tilak nagar is seeking applicants

Interview Details
- Interview Timing - 2:30Pm - 4:30Pm
Interview Location - SRV Chembur 320 shell Colony Tilak Nagar Chembur Mumbai Muharashtra 400089 India

Contact - 8675712209 (whatsapp)
Please Share the below details on 8675712209
Job Summary:
The Billing and TPA (Third Party Administrator) Executive is responsible for managing billing operations and coordinating with TPAs, insurance companies, and patients to ensure accurate claim processing and timely reimbursements. This role ensures that all billing documents are processed in compliance with healthcare regulations and insurance standards.

Key Responsibilities:
Billing Responsibilities:
Generate and verify patient bills based on treatment and services rendered.

Ensure accurate coding of procedures and diagoses (ICD, CPT).

Coordinate with clinical and administrative teams to collect service records.

Maintain up-to-date billing records and submit claims to patients or insurance providers.

Manage patient queries related to bills and payments.

Follow up on unpaid or underpaid claims.

TPA / Insurance Coordination:
Liaise with various TPA/insurance companies for claim intimation, approvals, and settlement.

Check pre-authorization forms and ensure documentation is complete.

Submit pre-authorization and final bill approval requests to TPAs.

Track claim status and follow up for timely approvals and payments.

Resolve discrepancies or denials in coordination with TPAs.

Maintain records of all correspondence with TPAs and insurance companies.

Qualifications & Skills:
Education: Graduate in any discipline (preferably commerce or healthcare-related); certification in medical billing or healthcare administration is a plus.

**Skills**:Strong understanding of healthcare billing and insurance processes.

Familiarity with ICD/CPT codes and medical terminology.

Good communication and negotiation skills.

Proficient in MS Office and hospital management software (HIS/EMR).

Attention to detail and organizational skills.

Current Location
- Total Education
Education
Notice period / How soon you can join
- Monthly Salary in hand
Monthly Salary in CTC

Pay: Up to ₹335,000.00 per year

Application Question(s):

- How soon you can join ?
- Experience
- Current / Previous Salary

Work Location: In person

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