Billing And TPA Executive

Job Title: Hospital Billing and TPA Executive

Department: Billing / Finance
Location: kompally
Reports to: Billing Manager / Finance Head / TPA Manager
Employment Type: Full-time

Job Summary:

The Billing and TPA Executive is responsible for managing patient billing processes, coordinating with Third Party Administrators (TPAs), and ensuring timely processing of insurance claims and payments. The role requires strong attention to detail, knowledge of medical billing codes, and experience handling TPA documentation and communication.

Key Responsibilities:

Billing Responsibilities:

• Generate accurate patient bills based on medical services provided.

• Verify treatment details and ensure appropriate application of rates.

• Handle cash, card, and digital payments and issue receipts.

• Monitor outstanding balances and follow up on pending payments.

• Maintain and update billing records in the hospital management system (HMS).

TPA Coordination:

• Liaise with TPA/insurance companies for pre-authorization and claim approvals.

• Submit necessary documentation (discharge summaries, bills, reports, etc.) for claims.

• Track claim status and follow up for timely payments.

• Resolve TPA queries, discrepancies, and rejections in a timely manner.

• Maintain updated records of empaneled TPAs and their terms.

Documentation & Compliance:

• Ensure all billing and claim processes comply with hospital policies and insurance regulations.

• Maintain confidentiality of patient and financial information.

• Generate regular MIS reports for management review.

• Assist in audits and provide documentation as required.

Required Qualifications:

• Bachelor’s degree in Commerce, Business Administration, or related field.

• 1–3 years of experience in hospital billing and TPA handling.

• Knowledge of hospital management systems (HMS), billing codes (ICD/CPT), and insurance claim procedures.

Key Skills:

• Strong communication and coordination skills.

• Attention to detail and accuracy in billing.

• Familiarity with TPA processes and documentation.

• Proficient in MS Office (especially Excel).

• Ability to handle high-pressure situations and multitask.

Preferred Qualifications (Optional):

• Experience working with large hospital chains.

• Certification in medical billing or hospital administration.

• 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 Hyderabad.
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., Hospital.
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 1 Billing And TPA Executive at Hospital
7. Who can apply for this job?
   Ans: Both Male and Female 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 AM - 06:00 PM timing.