Manager Billing
2 weeks ago
Job Posting:
The ESIC Billing Incharge will be responsible for overseeing the entire ESIC billing process from patient registration to claim submission and reconciliation. The role ensures accurate documentation, timely submission of claims to ESIC, coordination with various hospital departments, and compliance with ESIC rules and procedures.
Key Responsibilities:
1. Billing & Claims Management:
- Manage and verify ESIC patient registration, entitlement, and billing.
- Ensure accurate coding and documentation for ESIC claims.
- Submit claims to ESIC within stipulated timelines.
- Track claim status and follow up for approvals and reimbursements.
- Handle query resolutions and coordinate for any rejected or pending claims.
2. Documentation & Record Maintenance:
- Maintain complete and accurate ESIC billing records.
- Ensure all required documents, forms, and approvals are properly filed.
- Prepare daily, weekly, and monthly reports on ESIC billing and claim status.
3. Coordination:
- Coordinate with ESIC officials, hospital billing, accounts, and HR teams.
- Liaise with doctors and nursing staff for correct diagnosis and treatment entries.
- Work closely with TPA or ESIC representatives for claim clarifications and audits.
4. Audit & Compliance:
- Ensure billing procedures comply with ESIC norms and guidelines.
- Assist during ESIC audits and inspections.
- Keep updated with ESIC circulars, notifications, and policy updates related to billing.
Key Skills & Competencies:
- Thorough understanding of the ESIC Act, 1948, and statutory requirements.
- Proficiency in ESIC online portal operations and report generation.
- Working knowledge of PF, Gratuity, and other statutory benefits preferred.
- Strong Excel and data management skills.
- Excellent communication, coordination, and follow-up skills.
- Detail-oriented, reliable, and able to handle confidential information with integrity.
Interested candidates may share their updated resume at:
For more details, contact: Swati)
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