Senior Patient Care Officer, IP

23 hours ago

Pune, Maharashtra, India Jupiter Hospital Full time ₹ 6,00,000 - ₹ 12,00,000 per year
Key ResponsibilitiesA. Inpatient Billing Operations

  • Prepare, review, and finalize inpatient (IP) bills with accuracy.

  • Verify patient charges for room rent, procedures, investigations, pharmacy, consumables, consultations, and package inclusions.

  • Reconcile daily transactions, patient folios, and charge capture logs.

  • Ensure correct application of tariff, discounts, packages, and insurance approvals.

B. Admission-to-Discharge Financial Workflow

  • Provide patients/families with admission estimates and explain billing components.

  • Manage interim billing, daily updates, and credit limits.

  • Coordinate and facilitate smooth discharge by completing bill closure and final settlements.

  • Ensure timely communication of additional charges or financial updates.

C. Insurance & TPA Coordination

  • Coordinate with insurance/TPA desks for cashless approvals and enhancements.

  • Submit required documents (diagnosis, charts, investigations) for pre-auth and final approval.

  • Monitor claim status and follow up for pending approvals to avoid discharge delays.

  • Ensure compliance with insurance guidelines and documentation norms.

D. Patient Service & Communication

  • Address patient billing queries professionally and clearly.

  • Provide guidance on billing policies, payment procedures, and insurance coverage.

  • Resolve billing discrepancies and escalate unresolved cases to seniors.

E. Documentation & Compliance

  • Maintain accurate billing records, audit trails, and documentation.

  • Support internal and external audits; ensure compliance with NABH/JCI standards.

  • Adhere to hospital billing policies, financial SOPs, and statutory requirements.

  • Ensure proper coding of procedures, diagnoses, and services (ICD/CPT, if applicable).

F. Team Support & Supervision

  • Guide and support junior billing staff and patient care executives.

  • Conduct training sessions on billing processes, software, and compliance.

  • Assist Billing Supervisor in workload allocation and process improvements.

G. Coordination with Departments

  • Liaise with nursing, pharmacy, laboratory, radiology, and wards for accurate charge capture.

  • Work closely with the finance/accounts team for daily collection summaries.

  • Coordinate with the medical records department for final reports needed for insurance.

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