Job Title

Job Title:Cashless Executive Department:TPA Location:Ahmedabad Experience Required:2–5 years (TPA/Healthcare Industry preferred)Job Summary The Cashless Executive is responsible for handling cashless hospitalization processes, coordinating with TPAs and insurance companies, processing pre-authorizations, and ensuring timely approvals and settlements while maintaining accuracy and compliance with hospital and insurer guidelines.Key Responsibilities Coordinate with patients, doctors, and billing departments for cashless admission procedures Process and submit pre-authorization requests to TPAs/Insurance companies Follow up for approvals, queries, and enhancements from TPAs/Insurers Verify patient insurance details, policy coverage, and eligibility Maintain accurate documentation for cashless cases Handle denials, rejections, and justifications with supporting medical records Assist in final bill preparation and submission for cashless settlements Track pending approvals and settlements to ensure timely closure Ensure compliance with hospital policies and insurer guidelines Maintain proper records and MIS reports for management Coordinate with finance and accounts teams for reconciliation Handle patient and attendant queries related to cashless insuranceKey Skills Required Good knowledge of TPA and health insurance processes Familiarity with pre-authorization and claim settlement procedures Strong communication and coordination skills Attention to detail and documentation accuracy Ability to handle pressure and multiple cases simultaneously Basic computer knowledge (MS Excel, Hospital Information System)Qualifications Graduate in any discipline (preferred: Commerce / Healthcare Administration) Certification in Hospital Management or Medical Billing (added advantage) Experience in TPA, hospital billing, medical coding, or claim processing is an added advantage.