Front Desk Executive

Oncare; Gurugram District; On-site; INR 300,000 - 420,000; Full time

Job summary

Oncare is seeking a proactive Front Office Executive – Billing & TPA to join our hospital team in Gurgaon. You will handle OPD/IP billing, TPA coordination, and front desk patient services with a focus on accuracy and service quality.

The role requires hospital front office experience, knowledge of HIS, and strong communication skills. Certification in hospital administration/medical billing is a plus, with MS Excel/Word proficiency and the ability to multitask under pressure.

Qualifications

• Graduate in any discipline; B.Com or BBA preferred.
• Certification in Hospital Administration or Medical Billing is an added advantage.
• Experience with OPD/IP billing and TPA/insurance processes.

Responsibilities

• Front Office & Patient Services: Welcome and assist patients and visitors professionally; register new patients and maintain records; schedule, reschedule and confirm appointments; manage check-in/out; handle inquiries via phone, email, and in person.
• OPD/IP Billing: Generate OPD consultation, investigation, procedure, pharmacy, and daycare bills; prepare IP admission files and discharge billing; process payments and settlements; ensure billing accuracy before discharge; maintain daily billing and cash reports; coordinate with departments for billing.
• TPA & Insurance Coordination: Handle cashless and reimbursement cases; collect and verify documents; submit pre-authorizations; coordinate with insurers for approvals and queries; upload records on portals; follow up on approvals and maintain claim docs.
• Administrative Responsibilities: Maintain patient records in HIS; ensure compliance with billing policies; coordinate daily reconciliation with Accounts; prepare daily MIS reports; maintain confidentiality of patient information.
• Maintain confidentiality of patient information and ensure compliance with hospital billing policies and insurance guidelines.

Skills

HIS familiarity

OPD/IP billing

TPA & Insurance

Communication skills

MS Excel

MS Word

Email communication

Multitasking

Working under pressure

Education

Graduate degree

B.Com / BBA preferred

Tools

HIS

Job description

We are looking for a proactive and customer-focused Front Office Executive – Billing & TPA to join our hospital team. The ideal candidate should have experience in hospital front office operations, OPD/IP billing, and TPA/insurance coordination, with excellent communication and organizational skills.

Key Responsibilities

• Front Office & Patient Services :Welcome and assist patients and visitors professionally. Register new patients and maintain accurate patient records. Schedule, reschedule, and confirm patient appointments. Manage patient check-in and check-out processes. Handle patient inquiries via phone, email, and in person.
• OPD & IP Billing: Generate OPD consultation, investigation, procedure, pharmacy, and daycare bills. Prepare IP admission files and discharge billing. Process advance payments, refunds, and final settlements. Ensure billing accuracy before patient discharge. Maintain daily billing and cash collection reports. Coordinate with doctors, nursing, laboratory, pharmacy, and other departments for billing activities.
• TPA & Insurance Coordination: Handle cashless and reimbursement insurance cases. Collect and verify insurance-related documents. Submit pre-authorizations to TPAs and insurance companies. Coordinate with insurers for approvals, queries, and discharge clearances. Upload medical records and billing documents on insurance portals. Follow up on pending approvals and maintain claim documentation.
• Administrative Responsibilities: Maintain patient records in the Hospital Information System (HIS).Ensure compliance with hospital billing policies and insurance guidelines. Coordinate daily reconciliation with the Accounts team. Prepare daily MIS reports related to billing and TPA cases. Maintain confidentiality of patient information.

Eligibility Education

• Graduate in any discipline (B.Com/BBA preferred).Certification in Hospital Administration or Medical Billing is an added advantage.

Required Skills

• Knowledge of Hospital Information Systems (HIS).
• Hands-on experience in OPD & IP billing. Understanding of TPA and insurance claim processes.
• Good communication and interpersonal skills.
• Proficiency in MS Excel, MS Word, and email communication.
• Ability to multitask and work under pressure.

Preferred Knowledge

• Medical terminology.
• Oncology billing (preferred).

Key Performance Indicators (KPIs)

• Maintain billing accuracy of 99% or above. Timely submission of insurance pre-authorizations.
• Minimize billing errors and claim rejections. Deliver excellent patient service at the front office.
• Complete daily billing and cash reconciliation on time