Walk-in | Executive

Yashoda Hospitals; Hyderabad; On-site; INR 300,000 - 600,000; Full time

Job summary

Yashoda Hospitals in Hyderabad is seeking an Insurance Billing Executive to handle insurance and TPA billing activities, verify patient insurance details, and ensure timely submission of claims in line with hospital policies.

You will coordinate with insurance companies and TPAs, resolve rejections, and maintain accurate billing documentation across departments. The role requires 1–4 years in hospital billing and proficiency in Excel and billing software.

Qualifications

• 1-4 years of experience in hospital insurance billing or medical billing.
• multispecialty hospital experience preferred.
• Knowledge of cashless and reimbursement claims.
• Good communication and coordination skills.

Responsibilities

• Prepare and process insurance and TPA patient bills accurately.
• Verify patient insurance details, policy eligibility, and pre-authorization documents.
• Coordinate with insurance companies and TPAs for approvals and claim processing.
• Ensure accurate billing as per insurance policies and hospital tariff guidelines.
• Review patient bills, supporting documents, and discharge summaries before claim submission.
• Follow up on pending approvals, claims, and outstanding insurance payments.
• Identify billing discrepancies and coordinate with the concerned departments for corrections.
• Maintain proper documentation of insurance claims and billing records.
• Assist in resolving insurance claim rejections, deductions, and queries.
• Coordinate with the Admission, Discharge, Medical Records, and Accounts departments.
• Ensure compliance with hospital billing procedures and insurance documentation requirements.

Skills

TPA billing

Insurance claims

Communication

MS Excel

Billing documentation

Attention to detail

Pressure handling

Tools

MS Excel

Hospital billing software

Job description

Job Summary

Responsible for handling insurance billing activities, processing patient bills, coordinating with insurance companies and Third-Party Administrators (TPAs), and ensuring accurate and timely submission of insurance claims as per hospital policies and insurance guidelines.

Key Responsibilities

• Prepare and process insurance and TPA patient bills accurately.
• Verify patient insurance details, policy eligibility, and pre-authorization documents.
• Coordinate with insurance companies and TPAs for approvals and claim processing.
• Ensure accurate billing as per insurance policies and hospital tariff guidelines.
• Review patient bills, supporting documents, and discharge summaries before claim submission.
• Follow up on pending approvals, claims, and outstanding insurance payments.
• Identify billing discrepancies and coordinate with the concerned departments for corrections.
• Maintain proper documentation of insurance claims and billing records.
• Assist in resolving insurance claim rejections, deductions, and queries.
• Coordinate with the Admission, Discharge, Medical Records, and Accounts departments.
• Ensure compliance with hospital billing procedures and insurance documentation requirements.

Required Skills

• Basic knowledge of hospital insurance billing and TPA processes.
• Understanding of cashless and reimbursement claims.
• Good communication and coordination skills.
• Knowledge of MS Excel and hospital billing software.
• Attention to detail and accuracy in billing documentation.
• Ability to work under pressure and meet billing turnaround times.

Experience Requirements

• 1- 4 years of experience in hospital insurance billing, TPA billing, or medical billing.
• Experience in a multispecialty hospital is preferred.