TPA & Billing Executive

Job Title: Billing and TPA Executive

Department: Billing / TPA

Location: Jinkushal Cardiac Care and Superspecialty Hospital, Thane

Job Type: Full-Time

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Job summary

· The Billing and TPA Executive is responsible for managing patient billing, coordinating with Third-Party Administrators (TPAs), and ensuring timely and accurate claim processing, pre-authorizations, and settlements in compliance with hospital policies and TPA guidelines.

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Key Responsibilities

Billing Duties:

• Generate and process inpatient and outpatient bills accurately using hospital billing software.
• Verify and update patient details, services rendered, and charges.
• Coordinate with doctors and departments for final bill preparation.
• Ensure timely billing and discharge processes.
• Handle cash, card, and digital payments; issue receipts.
• Maintain billing records and reports for audit and compliance.

TPA Coordination:

• Coordinate with TPA desk for pre-authorization, approvals, and final settlements.
• Submit required documents (preauth forms, investigation reports, discharge summary) to respective TPAs or insurance companies.
• Track the status of submitted claims and ensure timely follow-ups.
• Maintain communication with TPA representatives and resolve queries or discrepancies.
• Ensure all documentation is complete and submitted within timelines to avoid claim rejections.
• Monitor and reconcile TPA payments with the finance department.

Job Type: Full-time

Pay: ₹15,000.00 - ₹22,000.00 per month

Benefits:

• Paid time off
• Provident Fund

Work Location: In person