Hospital Receptionist & TPA Executive

Gopinath Hospital; Bhiwadi; On-site; INR 200,000 - 350,000; Full time

Job summary

Gopinath Hospital in Rajasthan, India invites a professional Receptionist & TPA Executive to manage front office operations, coordinate with TPAs and insurance companies, and ensure a smooth patient registration and admission process.

The role includes handling registrations, appointments, billing coordination, and processing cashless insurance claims, with emphasis on accurate data entry and timely documentation.

Qualifications

• Experience in hospital front desk/Reception.
• Familiar with hospital information systems.
• Knowledge of TPAs and insurance processes.
• Good command of English and local language.

Responsibilities

• Handle patient registration, appointments, admissions, and discharge coordination.
• Answer calls, respond to inquiries, and direct patients to departments.
• Maintain patient records and ensure accurate data entry in HIS.
• Coordinate billing, receipts, and front-desk documentation.
• Process cashless hospitalisation requests with TPAs and insurance companies.
• Coordinate pre-authorisations, approvals and claim documentation.
• Follow up with insurance providers regarding approvals, queries and claim settlements.
• Verify insurance eligibility and explain cashless procedures to patients.
• Prepare and submit all required documents for reimbursement and cashless claims.
• Maintain records of claims, approvals, denials, and pending cases.
• Coordinate with billing, medical records, consultants, and nursing staff to ensure timely claim processing.

Skills

Customer service

Communications

Data entry

Front desk operations

Billing coordination

Cashless insurance

Job description

We are looking for a professional and customer-focused Receptionist & TPA Executive to manage front office operations and coordinate with Third-Party Administrators (TPAs) and insurance companies. The ideal candidate will ensure a seamless patient registration and admission process and assist with cashless insurance claims while maintaining accurate records.

Key Responsibilities

• Handle patient registration, appointments, admissions and discharge coordination.
• Answer phone calls, respond to inquiries and direct patients to the appropriate departments.
• Maintain patient records and ensure accurate data entry in the Hospital Information System.
• Manage billing coordination, receipts, and front-desk documentation.
• Process cashless hospitalisation requests with TPAs and insurance companies.
• Coordinate pre-authorisations, approvals and claim documentation.
• Follow up with insurance providers regarding approvals, queries and claim settlements.
• Verify insurance eligibility and explain cashless procedures to patients.
• Prepare and submit all required documents for reimbursement and cashless claims.
• Maintain records of claims, approvals, denials, and pending cases.
• Coordinate with billing, medical records, consultants, and nursing staff to ensure timely claim processing.