Sr. Executive/ Asst. Manager
1 week ago
Role & responsibilities
- Oversee the complete billing lifecycle for inpatient services, from patient admission to discharge and final bill generation.
- Review and validate medical documentation, consultant notes, and service entries for billing accuracy.
- Coordinate with coding, pharmacy, diagnostics, nursing, and admission teams to ensure completeness of billed services.
- Monitor insurance pre-authorizations, approvals, and TPA documentation.
- Ensure compliance with hospital policies, insurer guidelines, and government regulations.
- Address patient queries and resolve discrepancies or disputes related to IP billing.
- Collaborate with internal and external auditors during billing and financial audits.
- Generate daily and monthly billing reports and support revenue tracking.
- Identify and minimize billing errors or revenue leakage through regular checks.
- Assist in training and supervising junior billing staff as needed.
Preferred candidate profile
- Bachelors degree in Commerce, Finance, Healthcare Management, or related field.
- 3 to 6 years of experience in inpatient billing within a hospital or healthcare environment.
- Strong knowledge of healthcare billing systems, TPA/insurance workflows, and medical terminology.
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