Billing And TPA Executive

••TPA Billing Executive – Duties & Responsibilities••

• Handle all cashless and reimbursement cases related to insurance and TPAs.

• Coordinate with patients, insurance companies, and TPA representatives for approvals and claim processing.

• Prepare and submit pre-authorization requests with complete documentation.

• Verify patient insurance eligibility and policy coverage.

• Ensure accurate preparation of bills, discharge summaries, investigation reports, and supporting documents.

• Follow up on pending approvals, claim settlements, and rejected claims.

• Maintain proper records of all TPA communications, approvals, and claims.

• Resolve billing discrepancies and coordinate with consultants, nursing staff, and accounts department when required.

• Ensure compliance with hospital billing protocols and insurance guidelines.

• Prepare daily and monthly reports related to TPA billing and collections.

• Maintain confidentiality of patient and financial information.

• Support smooth discharge processes for insured patients.

••Accounts Handler – Duties & Responsibilities••

• Manage daily hospital accounts, receipts, payments, and cash transactions.

• Maintain accurate financial records and billing entries.

• Handle patient billing, cash collection, refunds, and payment reconciliation.

• Prepare vouchers, invoices, and expense records.

• Coordinate with TPA billing department for payment tracking and reconciliations.

• Maintain petty cash and monitor routine hospital expenditures.

• Assist in monthly financial reporting and account closing activities.

• Ensure proper filing and documentation of financial records.

• Coordinate with auditors, management, and administrative staff when required.

• Monitor pending dues and assist in recovery follow-ups.

• Ensure compliance with hospital financial policies and accounting procedures.

• Maintain confidentiality and accuracy in all financial dealings.

• It is a Full Time Accountant job for candidates with 1 - 5 years of experience.