Recovery Executive

Nextenti Tech Private Limited; Jagdalpur; On-site; INR 300,000 - 540,000; Full time

Job summary

Nextenti Tech Private Limited is seeking an experienced Recovery Executive to secure timely hospital dues from insurers, TPAs, Ayushman Bharat/PM-JAY, and other government schemes. The role emphasizes follow-up efficiency, accurate documentation, and cross-functional coordination.

You will handle Ayushman/PM-JAY claims, monitor ageing reports, and drive settlements in line with monthly targets. Apply with focus on attention to detail and negotiation skills.

Qualifications

• Strong knowledge of hospital insurance and TPA processes.
• Practical knowledge of Ayushman Bharat/PM-JAY and government health schemes.
• Good understanding of hospital billing and claim documentation.
• Strong communication, follow-up, negotiation, and coordination skills.
• Good working knowledge of MS Excel.

Responsibilities

• Follow up and recover pending insurance, TPA, and government scheme claims.
• Handle Ayushman Card/PM-JAY claim and recovery processes.
• Track pending, rejected, queried, deducted, and settled claims.
• Coordinate with insurance companies, TPAs, government scheme authorities, and hospital departments.
• Resolve claim queries, documentation issues, rejections, and short settlements.
• Maintain claim ageing, outstanding, and recovery reports.
• Ensure timely submission, follow-up, reconciliation, and settlement of claims.
• Achieve assigned monthly recovery targets.

Skills

Hospital insurance & TPA processes

Ayushman Bharat/PM-JAY knowledge

Hospital billing & claim documentation

Communication & negotiation

MS Excel

Education

B-COM/ MHA/ MBA

Job description

Job Description

JOB SUMMARY

We are looking for an experienced Recovery Executive responsible for timely recovery of hospital dues from insurance companies, TPAs, Ayushman Bharat/PM-JAY, and other government health schemes.

Key Responsibilities

• Follow up and recover pending insurance, TPA, and government scheme claims.
• Handle Ayushman Card/PM-JAY claim and recovery processes.
• Track pending, rejected, queried, deducted, and settled claims.
• Coordinate with insurance companies, TPAs, government scheme authorities, and hospital departments.
• Resolve claim queries, documentation issues, rejections, and short settlements.
• Maintain claim ageing, outstanding, and recovery reports.
• Ensure timely submission, follow-up, reconciliation, and settlement of claims.
• Achieve assigned monthly recovery targets.

Required Skills

• Strong knowledge of hospital insurance and TPA processes.
• Practical knowledge of Ayushman Bharat/PM-JAY and government health schemes.
• Good understanding of hospital billing and claim documentation.
• Strong communication, follow-up, negotiation, and coordination skills.
• Good working knowledge of MS Excel.

Preferred Experience

• Minimum 2 years of experience in hospital insurance, TPA, billing, claims, or recovery.
• Experience with Ayushman/PM-JAY claims will be strongly preferred.

Note: The Management reserves the right to modify, amend, or change the responsibilities, duties, and requirements mentioned in this Job Description based on organizational needs and operational requirements.

Location

Jagdalpur, Jagdalpur, Chhattisgarh, India 494442

Qualification

B-COM/ MHA/ MBA

Department

Billing & Insurance