Insurance Executive
2 months ago
**Ensure all SOP’s are adhered to and we provide “Care like no other”.**
- Ensure efficient and friendly customer interaction.
- Proactively interacts & builds rapport with customers to ensure transparency with charges and a comfortable smooth discharge process.
- Ensure Billing team adheres to SoP’s and TAT’s.
- Adheres to Maker - Checker process for billing entries.
- Assist Billing executives when required; addresses and resolves customer complaints personally when team member requires assistance.
- Fast track discharges by coordinating with all concerned for room availability.
- Billing errors to be less than 95%; in case of error 100% reporting and correction of error; 100% accuracy in collection and handover of amount and reporting.
- TAT for IP bill preparation - 30 - 45 Minutes, coordination of all bills & pre-auth process with TPA without exception.
- Ensure Pre-auth approval for upcoming cases ( before patient admission)
- Responsible for IP revenue: Contributes to achievement of revenue target & to cost saving for the department.
- Follows up for Insurance settlement: handles billing recovery & periodically updates long stay intermediate provisional bill to TPA.
- Maintains individual TPA status regarding Bills Submitted, Payment Status & Outstandings.
- Daily reporting : Daily Collection Report, Daily Billing report, Discount Report & prepares Covering report for insurance claim, scan and submission.
- Query handling from TPA after submission; responsible for full settlement.
- Participates actively in finance audit annually.
Ä Consultant Relationship:
- Has a good relationship with consultants and works well with them.
Ä Responsible for Outstanding Service Experience Delivery:
- Ensures self and team is well-groomed as per standard; maintain discipline and decorum.
- Responsible for implementation of the Service Vision - ensures team delivers care like no other.
- Coordinates with related departments to ensure billing activities are conducted smoothly and discharges are on time.
Ä Team Management:
- Inspires & leads the team effectively; assigns tasks clearly & supports team to perform effortlessly.
- Conducts daily briefings, addresses process issues and ensures complaints are resolved.
- Creates and maintains cordial relationship within the unit and with other departments.
- Ensure Induction and training of team as per protocol.
- Prepares effective training modules, coaches on the job to enhance team skills.
- Develops competent 2nd line.
- Ensures retention of team.
**Major Job Qualifications / Specific Skills**
Graduate; PG preferred
4 - 6 years in the service industry; preferable 4 years in Billing
- Strong functional knowledge.
- Competence in:
- account processes and costing; numeric skills; computer skills, understands software and capable of tracking for entries and updation accuracy.
- Good Interpersonal Skills: patient and helpful, empathic, connects well with all stakeholders
- Understands customers and enjoys assisting them
- Communicates effectively, fluency in English & Regional language
- Ability to influence and highly motivated to fulfil the Service expectations
- Eye for detail, accurate and thorough in follow up and completion of tasks
- Demonstrates leadership ; team player; dependable
- Works well under pressure, maintains calm; seeks to resolve situations gracefully
- Logical thinker, makes decisions smartly and quickly.
**Key Result Areas**
Revenue contribution; Cost Management; minimize loss/leakage of revenue; resource allocation and utilization
Process adherence; audit compliance; documentation accuracy
- less than 5% billing error ; 100% reporting & correction of errors; 100% collection and submission
- Discharge TAT
- Insurance document submission TAT ; monitoring disallowance to ensure minimum
Ensure department feedback scores are above the target.
Retention; 2nd line development; Induction & training.
**Job Type**: Permanent
Pay: From ₹16,000.00 per month
**Benefits**:
- Health insurance
- Provident Fund
Schedule:
- Fixed shift
Ability to commute/relocate:
- Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)
**Experience**:
- total work: 1 year (preferred)
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