We are seeking a detail-oriented and customer-focused Executive Billing & TPA to manage patient billing, insurance coordination, and third-party administrator (TPA) processes. 

• The executive will be responsible for ensuring accurate OPD and IPD billing, processing insurance approvals, managing patient account receivables, and coordinating with insurance companies and TPAs for cashless and reimbursement claims. 
• The role involves handling pre-authorizations, preparing cost estimates, resolving billing queries, processing refunds, maintaining financial records, and ensuring compliance with hospital billing policies and insurance guidelines. 
• The ideal candidate should possess strong analytical skills, attention to detail, and the ability to effectively manage billing operations while delivering excellent patient support.

• Prepare and process OPD and IPD billing accurately.
• Update patient records and billing information.
• Handle TPA and insurance claim documentation.
• Process pre-authorizations and treatment estimates.Coordinate with insurance companies and TPAs for approvals
• Manage patient billing queries and payment-related concerns.
• Validate and process patient refund requests.
• Follow up on outstanding payments and receivables.
• Generate billing, collection, and accounts receivable reports.
• Ensure compliance with hospital billing and insurance policies.