51 Tpa Billing Jobs

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 d...

Billing & Claims Processing: Generate and verify patient bills for ECHS beneficiaries as per CGHS/ECHS rate lists. Ensure proper documentation (OPD/IPD case papers, prescriptions, lab/radiology reports, etc.) is attached with each bill. Required Candidate profile Bachelor’s degree in Commerce, Business Administration, or a related field. Knowledge of ECHS/CGHS billing procedures is preferred. Prior experience in hospital billing.

Role & responsibilities Conduct timely follow-up on outstanding payments with customers, corporates, insurance companies, and third-party administrators (TPAs). Manage part-payment and short-payment reconciliations, ensuring accurate tracking and proper accounting entries. Prepare and maintain outstanding reports (daily, weekly, and monthly) for management review. Monitor aging analysis and escalate long-pending dues for resolution. Coordinate with billing, finance, and customer service teams to ensure smooth payment flow and dispute resolution. Maintain accurate documentation and communication records related to payment follow-ups. Assist in month-end closing activities, ensuring proper pos...

Urgent Opening for IPD Billing at Fortis Hospital Kalyan Qualification - Any Graduate Experience - 8 to 12 Yrs of Experience Knowledge of IPD Billing, GIPSA, TPA Billing, CGHS, Looking for Hospital Experience Candidate I nterested candidate can call on 7977763787 or Email - kln.hr@fortishealthcare.com Note - Sunday Not Working

Fortis Hospital Mohali is hiring OPD/ IPD staff , interested candidates can come directly for the interview from Monday to Friday between 9 am to 1 pm

Key Responsibilities: Collect and compile patient bills, discharge summaries, and reports. Prepare and maintain claim files in the Ayushman Bharat format. Assist in claim reconciliation and resubmission processes. Support the Claim Executive in daily operations and documentation. Qualification & Experience: Minimum 12th pass (Graduate preferred Commerce / IT background). Skilled in MS Excel, Word, PDF editing, email, and scanning tools. 1 year experience in hospital billing or data entry preferred; freshers with good learning attitude may apply. General Requirements: Honest, disciplined, and capable of handling confidential data. Good coordination and communication skills. Candidates from ne...

ESI Billing & Reimbursement: Assist with the submission of bills for ESI medical expenses. Verify the eligibility of insured persons (IPs) for ESI benefits. Coordinate with the ESI Corporation and medical units for claim processing.

Billing & Claims Processing: Generate and verify patient bills for ECHS beneficiaries as per CGHS/ECHS rate lists. Ensure proper documentation (OPD/IPD case papers, prescriptions, lab/radiology reports, etc.) is attached with each bill. Required Candidate profile Bachelor’s degree in Commerce, Business Administration, or a related field. Knowledge of ECHS/CGHS billing procedures is preferred. Prior experience in hospital billing.

Role: Senior Executive - Account Management Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. NOTE: Must have TPA or Insurance work experience for min 1-2 yrs

You are a detail-oriented TPA Insurance Billing Executive responsible for managing and coordinating insurance claims and billing processes with third-party administrators. Your role involves ensuring timely claim submissions, following up on approvals, and handling reimbursements in compliance with healthcare regulations. Key Responsibilities: - Process and submit insurance claims to TPAs accurately and promptly - Coordinate with patients, insurance companies, and hospital departments - Verify patient eligibility, coverage, and pre-authorizations - Follow up on pending and rejected claims to ensure resolution - Ensure compliance with hospital and insurance billing policies Qualifications: - ...

Position: Billing Executive Experience: 2 years (Minimum), 5 years (Relevant/Additional) Additional Exp.: Handling TPA portals, insurance coding, pre-authorization processes, and billing in a hospital setting. Proficiency in Hospital Information Systems. Experience of using Tally. Location: Dahej Skills: Communication, negotiation, documentation, persuasive ability, target orientation, strong interpersonal skills, listening and achievement orientation Qualification: Graduate (B.Com) with knowledge of TPA operations and hospital billing Language preferred: English, Hindi, Gujarati To manage accurate patient billing, prepare estimates, process insurance claims, and coordinate with TPAs to ensu...

IPD /OPD Billing Experience through TPA & Cash Experience minimum 3+ Yrs

Roles and Responsibilities: Planning of the teaching programme including an orientation programme in consultation with the HOD Academics. Planning for students Practical experience, ward assignments and trainings in consultation with the HOD Academics. Planning of curriculum with the cooperation and collaboration of the HOD Academics. Competent in Handling Hospital Front desk in terms of Patient Appointments and queries. Preferred Team handling exposure of patient care coordinators. Inbuilt empathy towards the patient and patient relatives. Knowledge of Hospital Billing components for IPD and OPD. Experience of handling TPA coordination and TPA queries for cashless facility. Knowledge of Hos...

Liaison between patients, the hospital, and insurance companies or TPAs, managing insurance claims, processing pre-authorizations, and ensuring efficient communication for cashless and other insurance-related processes.

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

Walkin : Mon to Sat between 11am to 3pm - Siruseri Unit Job Title: Insurance Co-ordinator Role & responsibilities: List out the total Number Of credit patients (All Insurance). To send the Pre- Authorization form to the concern insurance company. Explain the Admission & Discharge procedure to the patient & attenders also. All data's and activities should be computerized. Watch the approval status and query reply to be update shortly. To Proper communication about the patient Admission, Approval, Enhancement procedure, Discharge, Payment, and cancellation process. The most common job duties for a health unit coordinator are clerical tasks like answering phones and processing paperwork, includ...

Key Responsibilities Inpatient Billing Operations Prepare and finalize inpatient bills with 100% accuracy. Monitor and update provisional bills daily for admitted patients. Post all charges (consultation, procedures, pharmacy, diagnostics, room rent, consumables, etc.) correctly. Ensure billing adherence to hospital tariffs, package policies, and inclusions/exclusions. TPA/Insurance Coordination Handle admission intimation and obtain pre-authorization from TPAs/insurance companies. Submit necessary documents (admission notes, investigations, treatment plans) to insurance/TPAs on time. Track and follow up on approvals, enhancements, and extensions for continued stay. Align final billing stric...

MBA (Finance) or Inter CA with strong experience in hospital billing systems and audit processes.

Role & Responsibilities Handling TPA related all process from billing to co-ordinate with TPA companies. Responsible for counseling patient's family & pre-Auth process. Maintaining & uploading patient's files on the portal. Couriering the hard copy of patient's medical file to the Insurance companies. Responsible for all co-ordination activities from patient's admission to discharge. Handling billing Department, Implants bill updating & reconciliation. Daily co-ordination with the patient and Hospital staff. Outstanding follow-up with TPA. To obtain and review referrals and authorizations for treatments. Must be aware of norms of the insurance sector. Daily follow up with Insurance companies...

Role: Senior Executive - Account Management Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. Interested candidate can share their resume to varsha.kumari@mediassist.in

Role & responsibilities review and verify TPA deductions made from hospital bills. Cross-check claims, pre-authorizations, and payment details from TPAs to identify discrepancies. Reconcile payment and deduction reports with hospital billing and accounting records. Coordinate with insurance companies, TPAs, and internal departments to resolve deduction-related issues. Follow up on pending claims and deductions to expedite payments. Prepare regular reports on TPA deductions and highlight areas of concern or delay. Assist in audits and compliance checks related to TPA billing and deductions. Maintain accurate documentation and records of all deduction transactions. Provide support to the billi...

Role: Senior Executive - Account Management Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. NOTE: Must have TPA or Insurance work experience for min 1-2 yrs

Role: Senior Executive - Account Management Receive and check claim documents for completeness and advice employees regarding pending documents, if any. Track and control documents to ensure TAT of claims/cards as per SLA. Feedback from Insurers and Corporates. Additional revenue opportunities from existing Corporates. Non voice coordinator Respond to queries from the employees of the corporate through e-mails. Maintain weekly reports on claims and queries and the TAT of the same Escalate issues as per the escalation matrix. To attend to any other assignments assigned to you from time to time. NOTE: Must have TPA or Insurance work experience for min 1-2 yrs

The ideal candidate should have experience in TPA billing and counseling. This includes submitting insurance claims accurately and on time, verifying the completeness of claim documents, and maintaining relationships with TPAs and insurance companies. As part of the role, you will be required to negotiate service agreements, monitor performance, and address any issues related to claim settlements or delays. It will also be important to confirm patient insurance coverage, obtain pre-authorizations for treatments and procedures, and coordinate with medical staff and insurers for approval. A key aspect of the position will involve tracking reimbursement trends, optimizing revenue, reducing clai...

Responsibilities: * Manage backend operations with focus on health insurance claims processing, TPA billing, MIS reporting, data entry, and basic hospital administration. Provident fund Annual bonus