Executive-Billing

2 days ago


Central Madhya Pradesh Indore India Shalby Limited Full time

JOB DESCRIPTION 

BASIC INFORMATION

Position Title & Designation

Front Desk Executive - Mediclaim

JD Code

SHB/XXX/DEPT/NNN

Job Family

Business Support

Department

Mediclaim

ROLE DETAILS

To be filled up as per the requirement of the Division / unit / function / territory

Grade

B1

Reporting To

Mediclaim Manager

Division

Unit

Unit 

LOCATION DETAILS

Please mention  the correct office location of the Role selected above and fill in the other geographic details

Base Location (City) 

Country

India

Job-Holder Specifications

QUALIFICATION

Basic Qualification / Education / Vocational Training

Graduation in any discipline

Advanced

Qualification / Certification / Specialist Training

NA

EXPERIENCE

Minimum Experience

1-2 years

Specific / Relevant Experience

1-2 years

COMPETENCIES

Functional Skills and Capabilities

Behavioural

  • Courteous and professional approach
  • Responsible in nature
  • Polite in speech 
  • Problem solving ability
  • Tolerant

Functional

  • Knowledge about mediclaim procedure for TPA
  • Well equipped with computers
  • Thorough with company knowledge and packages
  • Documentation of data

Objective

To carry out the administrative and billing procedure by providing accurate estimates, checking the outstanding and smooth discharge process for mediclaim clients in the Mediclaim department.

Key Responsibilities

1

Administrative

  • Attending and counseling patients for mediclaim
  • Explaining policies, explaining packages and mediclaim documentation
  • Coordinate for consultation, packages if needed
  • Thorough checking of patient documents
  • Forwarding and sending documents to TPA and follow up with the companies
  • Informing patients about the approval and payment breakage
  • Entering data on portals, excel and care works.
  • Admission of patients and coordinating for internal query resolution
  • Coordinating with OT, admission, billing, OPD and resolving their queries
  • Sending the discharge documents to the company, follow up with them, making checklist and entering the data on portal
  • Sending the patient data to billing department
  • Preparation of two document copies: one for patient and another for hospital records
  • Attending, answering and guiding patient queries on calls and mails
  • After discharge, resolving query and help in sorting queries
  • Refunding of patient amount in case of excess payment received
  • Informing, couriering and mailing patients about queries
  • Coordinating among units and TPA as per requirement (eg: Shifting)
  • Clearing of all queries before completion of duty hours
  • Attending queries after duty hours as per requirement
  • Coordinating within the department as per requirement

Employee Name

Yash More 

Employee Signature

Received on (Date)

Version No: 001/


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