Hospital Billing Associate

1 day ago

Shivajinagar Pune Maharashtra, India Sancheti Hospital Full time

Prepare and submit accurate claims to insurance companies and other third-party payers in a timely manner.
- Review patient charts and insurance information for accuracy before claim submission.
- Resolve discrepancies or missing information to ensure timely processing.
- Follow up with insurance companies and payers on unpaid claims to ensure prompt payment.
- Post payments to the appropriate patient accounts in the hospital’s billing system.
- Reconcile insurance payments with remittance advice to ensure proper allocation.
- Handle adjustments to patient accounts based on payment discrepancies or denials.
- Coordinate with internal departments to ensure proper documentation of payments.
- Review denied claims, identify the cause of denial, and initiate appeals when necessary.
- Work with insurance companies and patients to resolve billing issues or discrepancies.
- Monitor accounts to ensure timely follow-up and resolution of unpaid claims.
- Ensure that all billing and follow-up actions are compliant with industry standards and hospital policies.
- Generate and review patient bills to ensure accuracy before sending them to the patients.
- Answer patient inquiries regarding billing questions, payment plans, and insurance information.
- Provide clear explanations of charges, insurance coverage, and payment options to patients and family members.
- Work closely with the hospital’s financial counselors to assist patients in setting up payment arrangements or financial assistance.
- Maintain accurate and up-to-date records for all billing activities, including claims submissions, denials, payments, and patient interactions.
- Assist in preparing reports related to billing activities, aged accounts, and outstanding claims.
- Keep track of key performance indicators (KPIs) related to billing efficiency and accuracy.
- Ensure adherence to hospital billing policies, insurance regulations, and compliance with HIPAA guidelines.
- Stay current with changes in healthcare billing regulations, coding updates, and payer requirements.
- Participate in audits or internal reviews as required to ensure the accuracy and integrity of billing data.
- Work closely with other departments (e.g., coding, patient access, finance) to resolve billing issues and ensure smooth revenue cycle operations.
- Provide support and assistance to other team members as necessary, fostering a collaborative work environment.
- Assist with training new billing associates or staff members as required.

Pay: ₹20,000.00 - ₹25,000.00 per month

**Benefits**:

- Health insurance

**Experience**:

- Hospital: 3 years (required)

Work Location: In person

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