<ul><li>Handle cashless hospitalization processes, including pre-authorization, approvals, and documentation with TPAs and insurance companies.</li><li>Coordinate with patients, consultants, and departments for timely submission of medical records and required documents.</li><li>Prepare and verify patient bills, ensuring accuracy of charges, procedures, and services availed.</li><li>Follow up with TPAs for claim approvals, queries, discrepancies, and pending payments.</li><li>Ensure correct coding of diagnoses, treatments, and procedures as per insurance guidelines.</li><li>Maintain patient files, billing records, and TPA documentation systematically.</li><li>Resolve patient queries related to insurance coverage, bills, deductions, and payment processes.</li></ul>

TPA & Billing Executive