Billing and Tpa Executive

17 hours ago

Goregaon Mumbai Maharashtra, India SRV Hospital, Goregaon Full time

Billing executives works under supervision of your reporting manager
- Update Patients file for the services render.
- Ensure correct computation of OPD & IPD billing as per respective guidelines, to issue billing adjustments, track, process and complete third-party invoices.
- Validate refund cheques for Patients,
- Follow up on any declined credit card, - to contact Patient’s relation to their payment inquiries
- Revert on patients’ billing & Insurance questions
- Handle Preauth and estimate of patient.
- Handle collections on unpaid accounts
- Manage the facility’s /Patients Accounts Receivable reports
- Calculate doctors payout.
- Daily MIS Report
- To undertake an appraisal and personal development review annually and through self-development, continuously update and improve knowledge and competencies through continuous learning
- Handle and Re-confirm all incoming & outgoing E-mails.
- Protects hospital's value by keeping collection information confidential.
- resolving any issues that might arise from events or actions that involve administrative functions to billing of the client. Performing the filling in an accurate, meticulous and timely manner will prevent any errors
- To participate in the appraisal scheme in accordance with Hospital policy

Overall formalities of cashless procedure.
- Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
- Handling all pre-authorization approval under Insurance Policy.
- Re-solving the query related to Hospital & Customers.
- Handling and Re-confirming all incoming & outgoing E-mails.
- Follow up of documentation of above procedures and registers.
- Handling the pre approval procedure according to Insurance & TPA MOU and others.
- Handling final proceedings of Insurance Company bills.
- Handling Corporate Clients under Insurance Policy.
- Collecting the information required to create a claim
- Reviewing and appealing unpaid and denied claims. Completion of documentation and sending the same to the Insurance ,TPA and corporate for processing.
- MIS Reports
- Participate in Audit, and other training and development as required.

Pay: ₹15,000.00 - ₹30,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Rotational shift

Supplemental Pay:

- Overtime pay
- Shift allowance
- Yearly bonus

Work Location: In person

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