
Billing Executive
7 days ago
Focus
Indicators
Business/ Financial
§ Receive payment from all patients for the hospital services provided.
§ Submit all related documents like reports, bills and discharge summary to concerned internal departments for final approval and settlement
§ Process all insurance TPA's and resolve their queries (TPA's as well as patients) to get the approval for payment clearance.
§ Coordinating with TPA Network team regarding reconciliation, billing queries like, over billing justification/ PPN Package issues & resolving.
Operations
§ Ensure transactions are correctly recorded of both OPD and IPD functions also maintaining the records & register for IPD.
§ To check the accuracy of the bills on daily basis, before the same could be circulated to the patients/attendants.
§ Responsible generation of daily reports & submitting the same to the manager.
§ Responsible for cash & credit billing (Insurance) for in-patient department.
§ Explaining the cash / TPA (Third Party Administration) insurance package to the patients and initiating backend process by sending all the insurance documents to the respected TPA's for the final settlement.
§ Daily checking the insurance patients and discuss with their consultants about their treatments & stay of hospitalization.
§ Daily Updating of Hospital Inpatient, census for pending payments, cashless/ approval status in TPA cases.
Customer
§ Responsible for maintaining all TPA's (Third Party Administrator) data and MIS.
§ To maintain a good relationship with TPA's for smooth functioning of the department.
§ Interact with all the internal and external auditors and answer queries if any.
§ Ensure all the documents are filled as per audit requirement and shared with the respective departments on a timely basis.
§ Ensure timely resolution of patient queries (discounts/ billing/ packages etc.) and counsel them on insurance related matters if any.
People
§ To co-ordinate with other departments like Pharmacy, OT Stores & Materials Stores for smooth flow of discharge process.
§ To interact with cross function teams to receive/ share updates timely
« Any other portfolio that may be entrusted by the management from time to time.
Educational Qualifications: B.com/ MBA
Work Experience
§ 4-5 years of experience in Billing Department.
§ Good communication and interpersonal skills
§ Accurate processing of information both verbal and written
§ Demonstrates high attention to detail with ability to solve problems on hand
§ Should demonstrate patience and confidence when dealing with customer enquiries and complaints
§ Strong attention to details
Expected Deliverables
§ Ensuring zero billing discrepancies
§ Accurate filing and maintenance of bills (online and offline)
§ Timely processing of insurance claims with TPA's
§ 100% compliance to statutory and internal audits
§ Resolving customer queries and ensure zero escalations
Expected Start Date: 15/03/2024
Job Types: Full-time, Permanent
Pay: ₹8, ₹31,344.42 per month
Benefits:
- Provident Fund
Experience:
- total work: 1 year (Required)
Work Location: In person
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