Senior Assistant - Billing IP

About the role

To support hospital billing and insurance operations by ensuring accurate patient billing, timely insurance/TPA processing, proper documentation, effective patient coordination, and smooth discharge settlement while adhering to hospital policies and applicable payer requirements.

What you'll do

• Insurance & TPA Coordination
• Verify patient insurance eligibility, policy details, coverage limits, exclusions, and applicable terms at the time of admission
• Coordinate with Insurance Companies and Third-Party Administrators (TPAs) for cashless hospitalization requirements
• Prepare and submit pre-authorization requests with required patient and clinical documentation
• Follow up on pending pre-authorizations, approvals, queries, and enhancement requests

What you need

• Billing
• Insurance
• Documentation
• MIS reporting
• Reconciliation
• SOP writing
• B.Com or BBA or B.Sc or BA

Good to have

• ERP