Assistant Manager

14 hours ago

Mumbai City District, India Asian Cancer Institute Full time ₹ 9,00,000 - ₹ 12,00,000 per year

JOB DESCRIPTION FOR ASSISTANT MANAGER - BILLING

POSITION: - ASSISTANT MANAGER

DEPARTMENT: - BILLING

REPORTING TO: - HEAD - FINANCE & ACCOUNTS

QUALIFICATION: - GRADUATE /B.COM PREFFERED

EXPERIENCE: - MINIMUM 5 TO 8 YEARS OF EXPERIENCE IN HOSPITAL BILLING

JOB RESPONSIBILITIES: -

The Billing Staff is responsible for managing all aspects of billing related to CGHS, MJPJAY patients, TPA & OTHER billing related work in the hospital. This includes verifying patient details, ensuring the correct application of health scheme policies, preparing and processing bills, as per agreed tariffs and maintaining records for these specific patient categories.

Job Description:

1. CGHS & MJPJAY Billing:

- Process and generate accurate bills for CGHS and MJPJAY patients, ensuring compliance with government schemes.

- Verify patient eligibility for CGHS and MJPJAY schemes by cross-checking valid card details, scheme entitlements, and applicable benefits.

- Ensure proper documentation and approvals are in place before bill submission for government reimbursement.

- Coordinate with hospital departments to collect accurate charges related to diagnostics, treatments, and consultations for CGHS/MJPJAY patients.

2. Claims Management:

- Ensure timely submission of claims to the concerned authorities as per CGHS/MJPJAY/TPA guidelines.

- Track and follow up on claims submitted to ensure prompt payments and resolution of any issues or queries.

- Address any discrepancies or queries related to bills, payments, or claims from patients or authorities.

3. Record Maintenance:

- Maintain accurate records for all CGHS/MJPJAY/TPA patient bills and transactions.

- Ensure the safe storage of physical and electronic documents in compliance with hospital policies.

- Assist in audits by ensuring all records are up-to-date and readily available when needed.

4. Patient Communication:

- Serve as the point of contact for patients under CGHS and MJPJAY schemes for any billing-related queries.

- Assist patients with understanding their benefits, billing process, and any insurance-related concerns.

5. Compliance and Reporting:

- Ensure all billing activities are compliant with the guidelines and policies of the CGHS and MJPJAY schemes.

- Prepare periodic reports on billing activities, outstanding claims, and payments received for review by the Billing Manager.

6. Coordination with Insurance / Government Agencies:

- Collaborate with insurance representatives or government bodies for the settlement of claims under the CGHS and MJPJAY schemes.

- Respond to any documentation or billing clarifications requested by these authorities

Skill Sets:

Verbal Ability

Ability to comprehend verbal instructions given by the Reporting Head or head of the department

Must be good in excel formatting, as well as in word and even in Email drafting.

Other Skills

Have an affinity for teamwork.

Able to work accurately and with minimal supervision.

Technical skills required for using and maintaining the various equipments and the computer.

Ability to plan & organize ones work schedule effectively.

Speaking and listening are essential requirements to understand and carry out the instructions given by the Reporting Head and other related departmental personnel

Must be decently being dressed and should be pleasing personality and cherry and resolving patient grievance and quires.

Contact Details : / Mr. NISHANT & Ms. NAUSHEEN

Please email your credentials & CV on,

/

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