TPA & Government Panel Settlement Executive

2 days ago

Jaipur, Rajasthan, India Rungta Hospital Full time ₹ 4,00,000 - ₹ 8,00,000 per year

Role & responsibilities

  • Handle claim submission, follow-up, and settlement with TPAs and government panels.
  • Track outstanding payments and prepare periodic reconciliation reports.
  • Coordinate with TPAs, insurance companies, and internal departments for claim clarifications.
  • Maintain records of claims, payments, and rejections in both Excel and Tally.
  • Post settlement entries, adjustments, and payment receipts in Tally.
  • Prepare monthly outstanding and collection status reports for management review.
  • Ensure timely submission of required documents for pending claims.
  • Follow up on delayed or short payments and resolve discrepancies.
  • Maintain communication logs and documentation for all settlement activities.
  • Support audit and compliance requirements related to TPA and panel accounts.

Preferred candidate profile

  • Bachelors degree in Commerce, Finance, or a related field.
  • Minimum 2–4 years of experience in hospital billing, TPA coordination, or account settlement.
  • Proficiency in Tally ERP and MS Excel.
  • Good knowledge of TPA/Government panel processes (CGHS, ECHS, ESIC, etc.).
  • Strong communication and coordination skills.
  • Attention to detail and ability to manage multiple accounts efficiently.

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