Billing & Insurance Executive

00001 To get the patient list having Insurance Policy from Admission Executive every morning.
- 00002 To check status on the previous pending cases and act upon for follow up.
- 00003 To make sure all Pre Authorization is sent with all appropriate information to TPA within 24 hours of admission.
- 00004 To collect all the necessary documents before sending the Pre Authorization form.
- 00005 To coordinate with all the stake holders in getting the Pre Authorization/ Query done.
- 00006 Follow ups done for the Approvals from TPAs.
- 00007 Knowledge of Policy Exclusions and Inclusions.
- 00008 To maintain In time and Out time of the documents sent and received and report to be maintained for the same.
- 00009 Inform patients/ relative on the status of the Approval / Denial time to time.
- 00010 To validate the Discharge Summary with the Pre Authorization sent before sending to TPAs for the final approval.
- 00011 Any other work assigned by the Management from time to time.
- Counseling the patient/ patients attendant about admission procedures
- Following admission procedures
- Allotment of ward to the patients on their approval
- Maintaining necessary documents related to TPAs
- Maintaining the relevant registers/ records
- Co-ordination with Insurance Desk
- Counseling ICU attendants in transferring patient
- Monitoring availability of bed status
- Any other work assigned by the superiors from time to time.
- Maintain Admission Register and Billing Register.
- Update room-wise census as and when patient gets admitted / discharged.
- Conduct patient bill assessment on a daily basis for all in-patients and initiate advance deposit augmentation wherever the bill exceeds the credit limit.
- Undertake cash collections and prepare collection summary and submit the same to HOD / Bank for safe keeping at the end of assigned shift.

Maintain IP bill Control Register.

Co-ordinate with the Ward Secretaries / Ward Staff, Housekeeping Department and other relevant departments for discharge functions leading to timely patient bill raising.

Carry out all routine typing associated with IP and OP billing.

Ensure that the Credit and Insured patient’s records for submission to appropriate authority for bill realization is carried out routinely without backlog.

Assist HOD and other colleagues in all matters concerned with Departmental related Hospital work.

Maintain all cash inflow / outflow registers

Enter and maintain record of all types of vouchers and related documents

Ensure smooth and complete hand over and takeover at shift change.

Prepare list of outstanding and incomplete bill payments on a routine basis as specified or on a monthly basis at the minimum.

Prepare and ensure that the days / shifts summary collection statement is submitted on time.

Check all bills, register entries for accuracy and put up to approving, clearing, signing authority on a daily basis in a routine manner as specified by superiors.

Issue and maintain record of all advances paid against salaries, etc to employees.

Maintain cordial relations with other departments

Clarify bills / amount to patients / relatives

Provide appropriate statements of accounts as and when required by the Head of the Department.

Any other work that may be entrusted from time to time by his / her superior.

To ensure overall quality of services is rendered to patients from non-clinical operations. Maintain Admission Register and Billing Register.
- Update room-wise census as and when patient gets admitted / discharged.
- Conduct patient bill assessment on a daily basis for all in-patients and initiate advance deposit augmentation wherever the bill exceeds the credit limit.
- Undertake cash collections and prepare collection summary and submit the same to HOD / Bank for safe keeping at the end of assigned shift.
- Maintain IP bill Control Register.
- Co-ordinate with the Ward Secretaries / Ward Staff, Housekeeping Department and other relevant departments for discharge functions leading to timely patient bill raising.
- Carry out all routine typing associated with IP and OP billing.
- Ensure that the Credit and Insured patient’s records for submission to appropriate authority for bill realization is carried out routinely without backlog.
- Assist HOD and other colleagues in all matters concerned with Departmental related Hospital work.
- Maintain all cash inflow / outflow registers
- Enter and maintain record of all types of vouchers and related documents
- Ensure smooth and complete hand over and takeover at shift change.
- Prepare list of outstanding and incomplete bill payments on a routine basis as specified or on a monthly basis at the minimum.
- Prepare and ensure that the days / shifts summary collection statement is submitted on time.
- Check all bills, register entries for accuracy and put up to approving, clearing, signing authority on a daily basis in a routine manner as specified by superiors.
- Issue and maintain record of all advances paid a