Billing And TPA Executive

Key Responsibilities:

TPA (Third Party Administrator) Related:

• Coordinate with TPA companies and insurance providers for patient admissions, approvals, extensions, and final settlement.

• Verify and process cashless requests for insured patients.

• Maintain proper documentation for all TPA cases, including pre-authorization, enhancement, and discharge approvals.

• Follow up with TPA/Insurance companies for timely settlement of claims.

• Ensure compliance with all TPA/Insurance guidelines and hospital policies.

• Maintain records of TPA claim submissions and reconciliations.

• Resolve queries raised by patients, TPAs, or internal departments.

Billing Related:

• Prepare and generate patient bills (IPD/OPD) accurately on time.

• Handle billing of all cash, card, TPA, insurance, corporate, and credit cases.

• Ensure correct entry of services, procedures, pharmacy, investigations, and consultant charges in the billing system.

• Collect and verify deposits, advance payments, and outstanding balances.

• Maintain accuracy in discharge billing and coordinate with wards/nursing staff for final bill clearance.

• Coordinate with internal departments (pharmacy, pathology, radiology, etc.) to ensure proper charge capturing.

• Submit daily billing and collection reports to management.

Skills & Competencies:

• Knowledge of hospital billing procedures, TPA process, and insurance claims.

• Good communication & coordination skills.

• Strong documentation and record-keeping abilities.

• Proficiency in hospital billing software and MS Excel.

• Attention to detail and accuracy.

• Ability to handle patients and attendants politely during billing/TPA process.

Qualification & Experience:

• Graduate (Commerce/Management/Healthcare preferred).

• Diploma/Certificate in Hospital Administration, Medical Billing, or TPA coordination preferred.

• Experience: 2–5 years in hospital billing & TPA operations.

• It is a Full Time Accountant job for candidates with 1 - 3 years of experience.

More about this Billing And TPA Executive job

1. What is the eligibility criteria to apply for this Billing And TPA Executive job?
   Ans: The candidate should be Graduate and above and above with 1 - 3 years of experience of experience
2. How much salary can I expect for this job role?
   Ans: You can expect a salary of ₹15000 - ₹18000 per month that depends on your interview. It's a Full Time job in Ghaziabad.
3. How many working days are there for this Billing And TPA Executive job?
   Ans: This Billing And TPA Executive job will have 6 working days.
4. Are there any charges applicable while applying or joining this Billing And TPA Executive job?
   Ans: No, there is no fee applicable for applying this Billing And TPA Executive job and during the employment with the company, i.e., CANCER CHARITABLE SOCIETY.
5. Is it a work from home job?
   Ans: No, it’s not a work from home job and can't be done online.
6. How many openings are there for this Billing And TPA Executive role?
   Ans: There is an immediate opening of 2 Billing And TPA Executive at CANCER CHARITABLE SOCIETY
7. Who can apply for this job?
   Ans: Only Male candidates can apply for this Accountant job.
8. What are the timings of this Billing And TPA Executive job?
   Ans: This Billing And TPA Executive job has 09:00 सुबह - 06:00 शाम timing.