Tpa Billing executive

22 hours ago

Pune, Maharashtra, India Medico Connect Full time ₹ 6,00,000 - ₹ 8,00,000 per year

Job Title: TPA / Billing Executive

Contact Mr Nishant Chaudhary WhatsApp

Location: Talegaon, Pune, Maharashtra

Job Type: Full-Time

About the Role

We are looking for a detail-oriented and proactive TPA / Billing Executive to manage the billing operations and Third Party Administrator (TPA) processes at our healthcare facility. The ideal candidate should have experience in hospital billing, insurance coordination, and TPA documentation.

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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.

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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.

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Salary & Benefits

Competitive salary based on experience.

Health insurance and staff medical benefits.

Professional growth and training opportunities.

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