Executive- TPA (Billing)

1 - 2 years

2 Lacs

Posted:1 day ago| Platform: Naukri logo

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Skills Required

Work Mode

Work from Office

Job Type

Full Time

Job Description

  • Coordinate with TPAs, insurance providers, and corporate clients for pre-authorization, approvals, and claim documentation.
  • Prepare detailed breakups of IPD/OPD bills as per policy and package guidelines.
  • Upload/submit claims and required documents to insurance/TPA portals and corporate HR/finance departments.
  • Track approvals, denials, pending cases, and follow up for timely settlement of claims.
  • Reconcile payments received against claims raised; escalate discrepancies to Billing Manager.
  • Maintain accurate records of cashless claims, corporate credits, and empanelled organization billing.
  • Ensure adherence to hospital SOPs, NABH/JCI standards, and IRDAI/Statutory guidelines.
  • Provide support during audits and liaise with internal teams (medical records, consultants, nursing) for supporting documents.

Interested candidates kindly drop your resume at rajeshwari.choudhary@livasahospitals.in or call at 9988821867 or 6366458152.

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Livasa Hospitals logo
Livasa Hospitals

Healthcare

Sangli

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