3 - 7 years

0 Lacs

Posted:6 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

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: - Bachelors degree or diploma in Healthcare Administration or related field - Proven experience in TPA billing within a hospital or clinic - Familiarity with insurance claim software and hospital billing systems - Strong communication and documentation skills - Knowledge of healthcare regulations and claim settlement processes Please Note: The job posting does not include any additional details about the company.,

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