
Esi/ Echs Billing Executive
2 days ago
The ESI / ECHS Billing Executive is responsible for preparing, verifying, and submitting bills related to **ESI and ECHS patients**. The role involves coordinating with doctors, nursing staff, and government/insurance representatives to ensure accurate billing, timely submission of claims, and recovery of payments as per ESI & ECHS guidelines.
**Key Responsibilities**:
- Prepare and verify bills of patients covered under **ESI & ECHS schemes**.
- Check authorization letters, referral slips, and entitlement documents before billing.
- Ensure charges are in line with **ESI/ECHS package rates and guidelines**.
- Upload and submit claims through ESI/ECHS portals, wherever applicable.
- Coordinate with **TPA / ESI / ECHS authorities** for pre-authorization and approvals.
- Maintain patient-wise and claim-wise documentation for audit and verification.
- Track, follow up, and reconcile outstanding payments from ESI & ECHS authorities.
- Prepare monthly and quarterly claim submission and settlement reports.
- Liaise with hospital departments (OPD, IPD, Pharmacy, Diagnostics, OT) for charge verification.
- Resolve billing-related queries raised by patients, auditors, or authorities.
- Ensure compliance with **government rules, hospital policies, and audit requirements**.
Work Location: In person
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