Associate

Manipal Hospitals; Ghaziabad District; On-site; INR 600,000 - 800,000; Full time

Job summary

Manipal Hospitals is seeking an Associate to oversee the end-to-end patient admission and billing lifecycle at our Pune facility. You will provide detailed financial counseling to patients and families, coordinate with clinical teams, and ensure accurate billing across cash, corporate and insured patients.

The role requires managing pre-authorization with TPAs, addressing insurance queries, and ensuring timely discharge summaries. Exceptional patient relations skills are essential.

Qualifications

• Experience in hospital billing and patient financial counseling.
• Familiarity with insurance processes, TPAs and cashless hospital billing.
• Good communication with patients and families about costs and payments.

Responsibilities

• Oversee admission and counseling, manage room allocation and required documentation.
• Generate and verify interim/final bills for cash, corporate and insured patients.
• Coordinate pre-authorization with doctors and TPAs to secure timely approvals.
• Address billing inquiries and grievances, ensuring smooth discharge and patient satisfaction.

Skills

Billing

Insurance

TPA Billing

Healthcare

Patient Relations

Job description

The Associate is responsible for overseeing the end-to-end patient admission and billing lifecycle. This includes managing financial counseling, ensuring accurate billing practices, coordinating with Third Party Administrators (TPAs) for insurance approvals,

Mandatory Skills

Billing,Insurance,TPA Billing,Healthcare,Patient Relations

Location

Pune

1. Admission & Counseling

• Facilitate the smooth admission of patients by managing room allocation and completing necessary documentation.
• Provide detailed financial counseling to patients and their families regarding estimated treatment costs, deposit requirements, and payment modes.
• Coordinate with clinical teams to ensure patient placement aligns with medical requirements and category eligibility.

2. Billing & Financial Management

• Generate accurate interim and final bills for cash, corporate, and insured patients.
• Verify all charges (pharmacy, consumables, doctor visits, and procedure charges) are correctly captured in the Hospital Information System (HIS).
• Monitor and follow up on outstanding payments and ensure the timely collection of deposits.

3. Insurance & TPA Coordination

• Manage the pre-authorization process by coordinating with doctors and TPA desks to ensure timely approvals.
• Address and resolve queries raised by insurance companies or TPAs to minimize claim rejections or deductions.
• Ensure all necessary discharge summaries and medical reports are submitted correctly for cashless processing.

4. Patient Relations & Grievance Handling

• Act as the primary point of contact for billing-related inquiries, explaining complex charges clearly to patients and relatives.
• Resolve grievances related to billing discrepancies or delays in insurance clearance with empathy and professionalism.
• Ensure a smooth and efficient discharge process to enhance overall patient satisfaction.