Billing/insurance Coordinator
10 hours ago
The IP (Inpatient) Billing & Insurance Executive is responsible for managing billing and insurance-related activities for admitted patients. This includes generating interim and final bills, coordinating with insurance providers and TPAs, handling pre-authorizations, follow-ups, and ensuring accurate documentation for timely claim settlement.
**Key Responsibilities:Inpatient Billing**:
- Create and update patient bills for all inpatient services (room rent, investigations, surgeries, medications, etc.).
- Coordinate with nursing, pharmacy, lab, and other departments for service postings.
- Monitor daily patient charges and ensure accuracy in billing.
- Prepare interim bills and final discharge bills with approvals.
**Insurance & TPA Handling**:
- Obtain pre-authorization from insurance/TPA at the time of admission.
- Submit required medical documents to TPA for approval.
- Coordinate with doctors and medical records team for timely documentation.
- Follow up with TPAs for enhancement and final approvals.
- Ensure all documentation (discharge summary, final bill, claim form, ID proofs) is correctly submitted for claims.
**Discharge Process**:
- Coordinate with IP nurse station for discharge instructions.
- Generate and explain final bill to patient/attendant.
- Ensure all dues are collected and insurance approval is in place before discharge.
**Documentation & Compliance**:
- Maintain accurate and complete billing and insurance files.
- Update billing status regularly in the Hospital Information System (HIS).
- Ensure compliance with insurance company and TPA guidelines.
- Assist in internal and external audits.
**Required Qualifications and Skills**:
- **Education**:Any Degree
- **Experience**: 1-2 years in IP billing and hospital insurance process.
- **Skills**:
- Knowledge of medical terminologies, insurance, and TPA processes.
- Proficiency in billing software/HIS.
- Good communication and coordination skills.
- Attention to detail and accuracy in billing.
- Familiarity with NABH guidelines and documentation.
Contact Details:
Vinothlakshmi.E
9025999713
Pay: ₹10,000.00 - ₹15,000.00 per month
**Benefits**:
- Provident Fund
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