Senior Patient Care Officer, IP

38 minutes ago

pune, India Jupiter Hospital Full time

Key ResponsibilitiesA. Inpatient Billing OperationsPrepare, review, and finalize inpatient (IP) bills with accuracy.Verify patient charges for room rent, procedures, investigations, pharmacy, consumables, consultations, and package inclusions.Reconcile daily transactions, patient folios, and charge capture logs.Ensure correct application of tariff, discounts, packages, and insurance approvals.B. Admission-to-Discharge Financial WorkflowProvide patients/families with admission estimates and explain billing components.Manage interim billing, daily updates, and credit limits.Coordinate and facilitate smooth discharge by completing bill closure and final settlements.Ensure timely communication of additional charges or financial updates.C. Insurance & TPA CoordinationCoordinate with insurance/TPA desks for cashless approvals and enhancements.Submit required documents (diagnosis, charts, investigations) for pre-auth and final approval.Monitor claim status and follow up for pending approvals to avoid discharge delays.Ensure compliance with insurance guidelines and documentation norms.D. Patient Service & CommunicationAddress patient billing queries professionally and clearly.Provide guidance on billing policies, payment procedures, and insurance coverage.Resolve billing discrepancies and escalate unresolved cases to seniors.E. Documentation & ComplianceMaintain accurate billing records, audit trails, and documentation.Support internal and external audits; ensure compliance with NABH/JCI standards.Adhere to hospital billing policies, financial SOPs, and statutory requirements.Ensure proper coding of procedures, diagnoses, and services (ICD/CPT, if applicable).F. Team Support & SupervisionGuide and support junior billing staff and patient care executives.Conduct training sessions on billing processes, software, and compliance.Assist Billing Supervisor in workload allocation and process improvements.G. Coordination with DepartmentsLiaise with nursing, pharmacy, laboratory, radiology, and wards for accurate charge capture.Work closely with the finance/accounts team for daily collection summaries.Coordinate with the medical records department for final reports needed for insurance.

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