Female Op

6 days ago

Tambaram Chennai Tamil Nadu, India Unittas Multispecialist Hospital Full time

Wanted

IP & OP Billing Executive - 10 n

Duty ; 10hrs. + Sundays Based Off

Salary : 12000 to 35000 in Hand

Location : OMR, Chennai

Food and Accommodation Free

Immediate Joining Preferred

Please Contact ; 6381523730
- **Accurate Billing and Claim Submission**: Generating and processing accurate bills for both inpatient and outpatient services according to hospital tariffs and billing guidelines. Submitting claims to insurance companies (both electronic and paper) and following up on unpaid or denied claims to ensure prompt payment.
- **Insurance Verification and Authorization**: Verifying patient insurance coverage and eligibility, including obtaining necessary referrals and pre-authorizations for procedures.
- **Accounts Receivable Management**: Monitoring and managing outstanding accounts receivable, working with insurance companies to resolve billing issues, and following up on denials and rejections.
- **Patient Billing and Support**: Communicating with patients regarding billing inquiries, explaining charges, discussing payment options, and addressing any billing-related concerns professionally and empathetically.
- **Compliance**: Ensuring all billing practices adhere to healthcare regulations, coding guidelines, and hospital policies (e.g., HIPAA, Medicare/Medicaid, private insurance).
- **Coordination**: Collaborating with other departments like coding, patient registration, and finance to ensure seamless payment flows and resolve billing discrepancies.
- **Data Entry and Record Keeping**: Maintaining accurate patient billing records and financial transactions in hospital billing software and electronic health records (EHR) systems.
- **Reporting**: Generating and analyzing billing reports related to revenue trends, claim approval rates, and outstanding payments to identify areas for improvement.

**Inpatient billing specific considerations**
- Requires a strong understanding of inpatient coding guidelines and DRG (Diagnosis Related Group) assignment.
- Emphasis on facility billing which includes charges for hospital resources, such as room usage, equipment, and nursing services.

**Outpatient billing specific considerations**
- Focuses on services where patients are not admitted to the hospital.
- Requires knowledge of CPT codes and accurate documentation of medical necessity.
- Often deals with higher patient volumes and the need to stay updated on frequently changing payer policies.

**Job Types**: Full-time, Permanent

Pay: ₹12,000.00 - ₹30,000.00 per month

**Benefits**:

- Food provided

Schedule:

- Day shift
- Morning shift
- Night shift
- Rotational shift

Supplemental Pay:

- Overtime pay
- Shift allowance

Work Location: In person

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