Medical Claims / TPA & Billing Executive

- Verify patient insurance coverage

- Generate bill estimate based on hospital guidelines and determine patient copay / deposit

- Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital

- Obtain required case information and signoff from hospital and share information with insurer / TPA

- Draft query responses based on guidance of medical lead

- Coordinate with hospital to ensure courier of physical file in timely manner

- Maintains dashboards and monthly reports for hospitals

- Reconcile claim settlements with hospital records

- Communicate professionally with clients and insurers / TPAs and offer good customer service

Travel to office location is mandatpry.

Work hours are from 9am to 6pm Monday to Saturday.

Job Types: Full-time, Permanent

Pay: ₹18,000.00 - ₹35,000.00 per month

Ability to commute/relocate:

• Malad, Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (Required)

Experience:

• TPA / hospital billing: 2 years (Preferred)

Work Location: In person