Walk-in | Hospital Desk Co Ordinator ( Nagarbhavi)

Payton Healthcare Solutions; Bengaluru; On-site; INR 360,000 - 600,000; Full time

Benefits offered by this job

Cell phone reimbursement

Health insurance

Leave encashment

Provident Fund

Job summary

Payton Healthcare Solutions in Bengaluru seeks a Hospital Desk Coordinator to manage cashless claims, reimbursement workflows, and billing operations from a hospital site. You will liaise with hospitals, TPAs, and Payton’s offices to ensure smooth financial clearance and patient care.

The role requires a Bachelor’s degree in a relevant field and 1–3 years’ experience in hospital billing or health insurance processing, with strong communication and Excel skills.

Qualifications

• Bachelor's degree in Hospital Administration, Healthcare Management, Business Administration, or related field.
• 1–3 years of experience in hospital TPA desk, medical billing, or health insurance claims processing.
• Thorough understanding of medical terminology, hospital billing processes, health insurance policies, and TPA workflows.

Responsibilities

• Initiate, process, and track cashless hospitalization requests from admission to discharge.
• Coordinate with TPAs and insurance companies for pre-authorization and final approvals.
• Resolve discrepancies or queries from insurers regarding treatment plans, tariffs, or medical documentation.
• Expedite final billing and insurance approvals to ensure timely patient discharge.
• Assist patients in understanding insurance coverage, exclusions, and reimbursement process.
• Audit hospital bills for accuracy against tariffs and corporate agreements.
• Serve as primary liaison between Payton Healthcare Solutions and hospital staff.
• Provide daily status updates on admissions, claims, and operational bottlenecks.
• Address patient grievances related to hospital billing or insurance promptly.

Skills

Communication

Medical billing

TPA coordination

Attention to detail

Education

Bachelor's degree in Hospital Administration / Healthcare Management / Business Administration

Tools

MS Excel

MS Word

Hospital management systems

Job description

Role & responsibilities

Role Overview

We are seeking a highly organized and proactive Hospital Desk Coordinator to serve as the primary liaison between Payton and our partner hospitals. In this role, you will be stationed at the hospital to ensure the smooth processing of all health insurance claims, manage cashless hospitalization requests, and oversee reimbursement workflows. You will act as the crucial bridge between hospital administration, patients, and the Payton corporate office to ensure seamless healthcare delivery and financial clearance.

Preferred candidate profile

Cashless Claims Management

Initiate, process, and track cashless hospitalization requests for patients from admission to discharge.

coordinate directly with Third-Party Administrators (TPAs) and insurance companies to secure pre-authorization and final approvals.

Resolve any discrepancies or queries raised by insurance companies regarding treatment plans, tariffs, or medical documentation.

Ensure timely discharge of patients by expediting the final billing and insurance approval process.

Reimbursement & Billing Operations

Assist patients in understanding their insurance coverage, exclusions, and the reimbursement claim process.

Collect, verify, and compile all necessary medical records, discharge summaries, and final bills required for offline reimbursement claims.

Audit hospital bills to ensure accuracy and alignment with approved insurance tariffs and corporate agreements.

Coordination & Communication

Serve as the primary point of contact and daily liaison between the Pyton corporate office and the hospital's billing, administrative, and medical staff.

Provide daily status updates and reports to the Pyton office regarding patient admissions, claim statuses, and any operational bottlenecks.

Address and resolve any patient grievances related to hospital billing or insurance coverage promptly and empathetically.

Qualifications & Skills- Education:

Bachelors degree in Hospital Administration, Healthcare Management, Business Administration, or a related field.

Experience: Minimum 1–3 years of experience working at a hospital TPA desk, medical billing department, or in health insurance claims processing.

Knowledge: Thorough understanding of medical terminology, hospital billing processes, health insurance policies, and TPA workflows.

Communication: Excellent verbal and written communication skills with the ability to negotiate and interact effectively with hospital staff, corporate offices, and anxious patients.

Tech Savvy: Proficiency in standard office software (MS Excel, Word) and the ability to quickly learn hospital management or claim processing systems.

Skills:

Strong problem-solving abilities, high attention to detail, and a calm demeanor under pressure.

Perks and benefits

• Cell phone reimbursement
• Health insurance
• Leave encashment
• Provident Fund