Executive, IP

2 weeks ago


pune, India Jupiter Hospital Full time

Key ResponsibilitiesA. Inpatient Billing ProcessGenerate interim and final inpatient bills.Verify room charges, procedures, investigations, doctor visits, consumables, and pharmacy items.Ensure accurate charge capture from nursing stations, OT, ICU, pharmacy, and diagnostic departments.Apply correct tariffs, packages, discounts, and credit notes as per policy.B. Admission-to-Discharge Financial WorkflowProvide estimates and explain billing elements to patients or attendants.Update daily charges and maintain patient folios.Monitor credit limits and notify the team of any overages.Prepare and finalize discharge bills promptly to avoid discharge delays.C. Insurance & TPA Coordination (as applicable)Coordinate with TPA/insurance desk for pre-authorisations and approvals.Submit medical documents (provisional diagnosis, investigations, notes) for enhancements.Reconcile insurance coverage, payable items, and policy inclusions/exclusions.Assist in preparing final bills for cashless discharge.D. Patient Support & CommunicationAddress patient and family queries regarding bills, package inclusions, and costs.Provide clarity on payment procedures and available payment modes.Handle billing grievances professionally and escalate when needed.E. Documentation & ComplianceMaintain accurate records of all billing-related documents.Ensure adherence to hospital billing policies, SOPs, and financial guidelines.Support internal and external audits by providing necessary records.Ensure compliance with NABH/JCI standards, if applicable.F. Coordination With DepartmentsLiaise with nursing staff for charge entries and consumables usage.Coordinate with pharmacy, laboratory, radiology, OT, and other service areas.Work closely with finance/accounts for deposits, refunds, and daily collections.


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