AR Calling

Key Responsibilities:

• Process insurance claims accurately as per defined procedures and guidelines.
• Review and investigate claims and take appropriate action based on process requirements.
• Handle customer calls and provide appropriate assistance.
• Ensure compliance with established policies, procedures, quality standards, and audit parameters.
• Meet defined SLA, quality, productivity, and performance targets.
• Maintain accuracy and attention to detail while processing claims.
• Take ownership of assigned tasks and deliverables.
• Coordinate effectively with team members, supervisors, and relevant departments.
• Maintain regular attendance and follow shift schedules and organizational policies.
• Continuously develop process knowledge and improve skills.
• Maintain professional communication and relationships with internal and external stakeholders.

Key Skills:

English Communication | Customer Service | Claims Processing | Attention to Detail | Problem Solving | Teamwork | Process Adherence | Time Management | Quality & SLA Management

About LabStack-

LabStack is the growth engine for healthcare.

We are building the infrastructure layer that connects healthcare businesses with healthcare providers and operational workflows across India.

Our network spans diagnostics, hospitals, doctors and clinics, pharmacy, home healthcare and other healthcare services.

As healthcare networks grow, processing hospital claims accurately and coordinating with insurers and TPAs becomes a critical operational function. This role will be responsible for making sure claims move through the process accurately, efficiently and within defined SLAs.

About the Role-

We are looking for a Hospital Claims & TPA Processor to manage and oversee hospital claims and TPA-related operations.

You will work with hospitals, TPAs, insurers and internal operations teams to ensure that claims and related documentation are processed correctly and on time.

This is a detail-oriented role where accuracy, documentation, follow-up and SLA management are critical.

What You Will Do-

• Process and review hospital claims received from healthcare providers.
• Coordinate with hospitals and TPAs for claim-related documentation.
• Verify claim forms, bills, medical documents and supporting records.
• Check claims for completeness and identify missing or inconsistent information.
• Track claims from submission through processing and closure.
• Follow up with hospitals and TPAs on pending claims and documentation.
• Coordinate on claim queries, discrepancies and re-submissions.
• Maintain accurate claim records and status updates.
• Ensure claims are processed within defined SLAs.
• Monitor pending, rejected, queried and approved claims.
• Escalate cases that require additional review or intervention.
• Maintain claim trackers and operational reports.
• Coordinate with internal teams to resolve claim-related issues.
• Identify recurring documentation or processing issues and help improve the workflow.
• Maintain confidentiality and accuracy while handling healthcare and claim-related information.

What We're Looking For-

• Minimum 1 year of relevant experience.
• Prior experience in hospital claims, TPA operations, insurance claims, healthcare operations or hospital billing is preferred.
• Good understanding of the hospital insurance/TPA claims process.
• Experience working with hospitals, insurers or TPAs is a strong advantage.
• Strong attention to detail.
• Good understanding of claim documentation and verification.
• Strong follow-up and coordination skills.
• Comfortable working with Excel/Google Sheets and operational trackers.
• Ability to manage multiple claims and deadlines simultaneously.
• Strong written and verbal communication.
• Ability to identify discrepancies and escalate issues appropriately.
• Comfortable working in a fast-paced healthcare operations environment.

Compensation & Employment-

Compensation: ₹20,000–₹35,000 per month