Durga Pandit

Experienced Healthcare Billing and TPA Executive with 6+ years of experience in hospital operations, insurance claim processing, and corporate billing. Skilled in IPD/OPD billing, cashless processes, claim settlement, and MIS reporting. Proven ability to manage multiple tasks efficiently while ensuring accuracy and compliance.

Billing – TPA Associate - Medicover Hospital - Ch. Sambhajinagar

(2022-08 - 2023-06)

• Managed TPA and corporate billing processes
• Handled insurance claim processing and pre-authorization
• Maintained discharge TAT and ensured billing accuracy
• Prepared and updated daily MIS reports

Billing Executive – TPA Department - KIMS (Kingsway Hospitals) - Nagpur

(2020-09 - 2022-01)

• Managed IPD billing including COVID cases
• Handled TPA, corporate, and CGHS billing processes
• Performed claim settlement and reconciliation
• Followed up on pending claims and payments
• Prepared daily and monthly MIS reports
• Managed reimbursement claims and recovery
• Handled billing and coordination for CGHS, Central Railway, NTPC, BHEL, WCL, AAI and MPKAY schemes including file submission and recovery

Front Office Executive (Level 2) - American Oncology Institute - Nagpur

(2019-04 - 2020-04)

• Handled IPD, OPD and day care billing
• Managed TPA processes and billing
• Maintained patient records and daily trackers
• Coordinated patient counselling and follow-ups
• Updated MIS reports and patient data

Customer Care Executive - Icon Hospital (Med Cash Pvt. Ltd) - Nagpur

(2018-01 - 2019-03)

• Managed IPD/OPD operations and patient handling
• Performed billing and package counselling
• Handled CGHS and corporate billing submissions
• Managed cashless and TPA processes
• Resolved patient queries and complaints

TPA Coordinator - Mandhaniya Cancer Hospital & Research Institute

(2016-11 - 2017-12)

• Managed insurance empanelment process
• Coordinated with insurance companies
• Followed up for claim approvals and recovery
• Maintained patient billing and insurance records

Back Office Executive - Pulse Diagnostic Center - Nagpur

(2015-03 - 2016-11)

• Managed CGHS billing and UTI uploads
• Maintained patient data and reports
• Coordinated corporate health checkups
• Handled PCPNDT submissions

Bachelor of Arts - B.A.

Polytechnic - Civil Engineering

SSC - State Board (2012)