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Billing Manager

2 months ago

Warangal, India Ajara Hospitals Full time
  • Oversees the operations of the billing department, charges of entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management Serves as the practice expert and go to person for all billing processes.
  • Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
  • Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues
  • Follow up on claims using various systems, i.e. practice management and clearing.
  • Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
  • Collects and compiles accurate statistical reports Audits current procedures to monitor and improve efficiency of billing and collections operations.
  • Performs all duties and responsibilities in an efficient, team-oriented manner.
  • Accountable for being knowledgeable and understanding of all aspects of the billing

STAFF DUTIES TO INCLUDE: Entering patient demographics and insurance information.

Verifying patient eligibility and benefits for upfront collection on unmet deductibles and co-insurance.

Responsible for reviewing operative reports within three business days of procedure/surgery o Enter charges accurately according to insurance payers/contracts.

  • Submitting clean claims by attaching necessary documentation for payment.
  • Follow-up on electronic claims and paper claims o Posting insurance payments to patient accounts.
  • Submit all secondary claims when necessary o Refund money owed to patient or insurances Accountable for reviewing daily schedules for estimates, authorizations and 3rd party billing.
  • Conducts self in a manner that reflects a positive representation of the company, and encourages others to do the same.

Observes strict patient confidentiality in dealing with patients.