Tpa Billing Executive

Saathi Re NGO

1 - 2 years

2 - 3 Lacs

pune

Posted:1 day ago| Platform:

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Skills Required

tpa claims processing healthcare operations mediclaim medical billing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

Prepare, verify, and submit TPA and insurance bills accurately and on time.
Coordinate with TPA coordinators and insurance representatives for claim approvals and settlements.
Handle pre-authorization requests and maintain all relevant documentation.
Track claim status and follow up for pending or rejected claims.
Reconcile TPA accounts and maintain updated records of claims, payments, and rejections.
Assist in preparing MIS reports related to TPA billing and collections.
Ensure compliance with hospital billing policies and TPA/insurance guidelines.
Coordinate with the finance and accounts teams for payment postings and reconciliations.
Address patient and TPA queries related to billing and documentation.

Skills & Competencies:

Good knowledge of hospital billing procedures and insurance/TPA processes.
Strong communication and coordination skills.
Attention to detail and accuracy in billing and documentation.
Proficiency in MS Excel, hospital billing software, and TPA portals.
Ability to work under pressure and meet deadlines.

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