Billing & TPA Executive (1 week Night shift/month)
Core
Managing financial services for patients by preparing cost estimates, coordinating with Third Party Administrators (TPA), and processing billing activities.
Role type
Senior billing and TPA executive
Builds
Transparent billing processes and insurance claim approvals for patients
Domain
Healthcare administration and insurance
Deliverable
client delivery
Required skills
Medical billing and coding, TPA and insurance coordination, Estimation and costing in healthcare, Patient communication, Conflict resolution, Documentation
Preferred skills
NABH/JCI guidelines knowledge
Responsibilities
Prepare accurate cost estimates for outpatient, inpatient, surgeries, and procedures; Liaise with insurance/TPA providers for pre-authorizations, approvals, and claims processing; Provide empathetic communication to patients and families regarding billing and insurance.
Seniority
Senior, hands-on IC
