Sr Executive - Credit Billing

Job description

• Handle and process cashless claims efficiently and within timelines.
• Coordinate with TPAs, insurance companies, and internal departments for smooth processing of patient admissions and discharges.
• Manage pre-authorisation, enhancement, and final approval processes for all cashless patients.
• Ensure accurate and timely documentation for CGHS, GIPSA, and private insurance claims.
• Track claim status, follow up on pending claims, and ensure timely reimbursements.
• Maintain up-to-date records and MIS reports.
• Coordinate with patients regarding insurance queries and documentation needs.
• Ensure compliance with standard protocols and hospital policies
• Should have experience in handling CGHS cases.
• Approval for treatments regarding major emergency procedures / surgeries after discussing with HOD
• Interaction with doctors regarding broad treatment plan vis--vis hospitalization expenditure Collecting of all letters
• Clearances for Pharmacy / Procedures / Surgeries for IP corporates cases

Requirements:

· Minimum 2 years of experience in hospital TPA operations, specifically with CGHS, GIPSA, and anywhere cashless networks.

· Strong understanding of cashless claims and insurance processes.

· Proficiency in Microsoft Excel & hospital billing software.

· Good communication and interpersonal skills.

· Ability to work under pressure and handle multiple tasks

Job Type: Full-time

Pay: ₹8,691.98 - ₹38,824.21 per month

Benefits:

• Provident Fund

Work Location: In person