Billing Executive

5 days ago

Mulund West Mumbai Maharashtra, India SPF's HIRA MONGI NAVNEET HOSPITAL Full time

**Qualification Required**: Graduate from any stream with experience in Hospital Billing, TPA and CGHS.

1. Well versed and experienced with all protocols and procedures for Billing of OPD/IPD & Cashless patients.

2. To handle all Billing queries for both OPD and IPD.

3. Good at communication in English, Hindi, Marathi & Gujarati.

4. Willing to work in rotational shifts.

**5. Experience of handling CGHS would be preferred.**

**Responsibilities**:
1) Obtaining referrals and pre-authorizations as required for procedures.

2) Competent use of computer systems, software,

3) Updating billing software with rate changes.

4) Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.

5) Reviewing patient bills for accuracy and completeness, and obtaining any missing information.

6) Preparing, reviewing, and transmitting claims using billing software, mediclaim processing.

7) Following up on unpaid claims within standard billing cycle timeframe.

8) Checking each insurance payment for accuracy and compliance with contract discount.

9) Calling insurance companies regarding any discrepancy in payments if necessary

10) Identifying and billing secondary or tertiary insurances.

11) Reviewing accounts for insurance of patient follow-up, appealing denied claims.

12) Answering all patient or insurance telephone inquiries pertaining to assigned accounts.

13) Setting up patient payment plans and work collection accounts.

14) Updating cash spreadsheets, and running collection reports.

15) Knowledge of insurance guideline

16) All work prescribed the management time to time as per the exigencies.

17) Following the hierarchy policy as per the organogram and working as per the same.

Pay: From ₹18,000.00 per month

Work Location: In person

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