Walk-in | TPA Executive

Jaipur National University; Jaipur; On-site; INR 300,000 - 600,000; Full time

Job summary

Jaipur National University in Jaipur is seeking a Billing Claims Specialist to manage the end-to-end insurance claim process with TPAs and insurers. The role includes claim submission, eligibility checks and documentation to ensure timely settlements.

The successful candidate will prepare pre-authorization and final billing documents, follow up on outstanding claims, reconcile TPAs' payments and resolve discrepancies in line with hospital policies. Proficiency in Advanced Excel is essential.

Qualifications

• Candidate should have strong Excel skills and familiarity with billing processes.

Responsibilities

• Process and submit insurance claims to TPAs accurately and within timelines.
• Coordinate with insurance companies and TPAs for claim approvals and settlements.
• Verify patient insurance eligibility and coverage details.
• Prepare pre-authorization and final billing documents.
• Follow up on pending claims and resolve billing discrepancies.
• Maintain proper documentation of claim records and approvals.
• Reconcile payments received from TPAs.
• Handle claim rejections and resubmissions.
• Ensure compliance with hospital policies and insurance guidelines.
• Provide billing support to patients and internal departments.
• Advanced Excel

Skills

Advanced Excel

Job description

• Process and submit insurance claims to TPAs accurately and within timelines
• Coordinate with insurance companies and TPAs for claim approvals and settlements
• Verify patient insurance eligibility and coverage details
• Prepare pre-authorization and final billing documents
• Follow up on pending claims and resolve billing discrepancies
• Maintain proper documentation of claim records and approvals
• Reconcile payments received from TPAs
• Handle claim rejections and resubmissions
• Ensure compliance with hospital policies and insurance guidelines
• Provide billing support to patients and internal departments
• Advanced Excel