Billing and TPA Executive

Drlogy; Barasat; On-site; INR 300,000 - 500,000; Full time

Job summary

Drlogy is seeking a Billing and TPA Executive to manage billing and documentation tasks at Ramakrishna Multispeciality Hospital in Barasat. The role includes preparing bills, handling TPA and insurance documentation, and ensuring efficient patient billing assistance.

The ideal candidate will possess a graduate qualification and have 3–5 years of relevant experience. Strong communication skills and the ability to follow up effectively with insurers and patients are essential for success in this position.

Qualifications

• 3–5 years of experience in billing and TPA.
• Strong knowledge in handling insurance, mediclaim, and documentation.
• Ability to communicate effectively with patients.

Responsibilities

• Prepare accurate OPD, IPD, emergency, and discharge bills.
• Handle all TPA and insurance-related documentation.
• Verify patient details and manage approvals.

Skills

Hospital billing

TPA documentation

Insurance coordination

Claim follow-up

Patient communication

Education

Graduate qualification

Job description

The Billing and TPA Executive will handle hospital billing, TPA documentation, cashless approval support, claim follow-up, discharge billing coordination, and patient billing assistance at Ramakrishna Multispeciality Hospital, Barasat. This requires Graduate qualification with 3–5 years of billing and TPA experience.

• Prepare OPD, IPD, emergency, procedure, and discharge bills accurately.
• Handle TPA, insurance, cashless, mediclaim, and claim-related documentation.
• Verify patient details, policy documents, admission notes, approvals, and billing entries.
• Coordinate pre-authorization, enhancement, query reply, and final approval process.
• Follow up with insurance companies, TPA portals, doctors, billing, MRD, and patients.
• Maintain billing records, claim trackers, approval files, and daily status reports.
• Explain bill details, approval status, deposits, and payment responsibility to patients politely.
• Track pending approvals, claim queries, denials, and documentation gaps.
• Coordinate discharge billing and final clearance to avoid patient delays.
• Ensure accurate, transparent, and timely billing and TPA support.