Billing And TPA Executive

Key Responsibilities

• Claims Processing:

  Verifying, processing, and facilitating the approval and settlement of both cashless and reimbursement claims. 

• Patient & Provider Coordination:

  Acting as the primary point of contact for insurance-related matters, coordinating with patients and hospital departments from admission to discharge. 

• Billing & Documentation:

  Preparing and reconciling bills, including managing implant bills and doctor charges, and ensuring all documents comply with policy terms. 

• TPA Portal & Compliance:

  Handling and uploading documents to TPA portals and ensuring adherence to all insurance regulations and guidelines. 

• Customer Service:

  Providing exceptional customer service to patients by addressing their queries, explaining policy coverage, and assisting with pre-authorization processes. 

• Reporting:

  Generating reports on claims processing and status for internal review and analysis. 

• Panel Management:

  Assisting in onboarding and maintaining relationships with different insurance panels and corporates. 

Required Skills and Qualifications 

• Education:

  A Bachelor's degree in any discipline is generally required. Degrees in Healthcare Administration, Insurance, or Healthcare Management are preferred.

• Experience:

  Previous experience in the TPA department of a hospital, in healthcare insurance, or with hospital billing systems is highly valuable.

• Technical Proficiency:

  Familiarity with TPA software, hospital information systems (HIS), and MS Excel is necessary.

• Soft Skills:

  Strong communication, customer service, and negotiation skills are essential for interacting with diverse stakeholders.

• Knowledge:

  A thorough understanding of healthcare policies, insurance regulations, and claims processing protocols is critical.

• It is a Full Time Accountant job for candidates with 3 - 4 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 3 - 4 years of experience of experience
2. How much salary can I expect for this job role?
   Ans: You can expect a salary of ₹15000 - ₹25000 per month that depends on your interview. It's a Full Time job in Varanasi.
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., SHREE HR SERVICES.
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 SHREE HR SERVICES
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 10:00 AM - 07:00 PM timing.