Hospital Receptionist & TPA Executive

We are looking for a professional and customer-focused Receptionist & TPA Executive to manage front office operations and coordinate with Third-Party Administrators (TPAs) and insurance companies. The ideal candidate will ensure a seamless patient registration and admission process and assist with cashless insurance claims while maintaining accurate records.

Key Responsibilities

• Handle patient registration, appointments, admissions and discharge coordination.
• Answer phone calls, respond to inquiries and direct patients to the appropriate departments.
• Maintain patient records and ensure accurate data entry in the Hospital Information System.
• Manage billing coordination, receipts, and front-desk documentation.
• Process cashless hospitalisation requests with TPAs and insurance companies.
• Coordinate pre-authorisations, approvals and claim documentation.
• Follow up with insurance providers regarding approvals, queries and claim settlements.
• Verify insurance eligibility and explain cashless procedures to patients.
• Prepare and submit all required documents for reimbursement and cashless claims.
• Maintain records of claims, approvals, denials, and pending cases.
• Coordinate with billing, medical records, consultants, and nursing staff to ensure timely claim processing.