Job Description

Focus

Indicators

Business/ Financial

Receive payment from all patients for the hospital services provided.

Submit all related documents like reports, bills and discharge summary to concerned internal departments for final approval and settlement

Process all insurance TPA's and resolve their queries (TPA's as well as patients) to get the approval for payment clearance.

Coordinating with TPA Network team regarding reconciliation, billing queries like, over billing justification/ PPN Package issues & resolving.

Operations

Ensure transactions are correctly recorded of both OPD and IPD functions also maintaining the records & register for IPD.

To check the accuracy of the bills on daily basis, before the same could be circulated to the patients/attendants.

Responsible generation of daily reports & submitting the same to the manager.

Responsible for cash & credit billing (Insurance) for in-patient department.

Explaining the cash / TPA (Third Party Administration) insurance package to the patients and initiating backend process by sending all the insurance documents to the respected TPA's for the final settlement.

Daily checking the insurance patients and discuss with their consultants about their treatments & stay of hospitalization.

Daily Updating of Hospital Inpatient, census for pending payments, cashless/ approval status in TPA cases.

Customer

Responsible for maintaining all TPA's (Third Party Administrator) data and MIS.

To maintain a good relationship with TPA's for smooth functioning of the department.

Interact with all the internal and external auditors and answer queries if any.

Ensure all the documents are filled as per audit requirement and shared with the respective departments on a timely basis.

Ensure timely resolution of patient queries (discounts/ billing/ packages etc.) and counsel them on insurance related matters if any.

People

To co-ordinate with other departments like Pharmacy, OT Stores & Materials Stores for smooth flow of discharge process.

To interact with cross function teams to receive/ share updates timely

Any other portfolio that may be entrusted by the management from time to time.

Educational Qualifications:

B.com/ MBA

Work Experience

4-5 years of experience in Billing Department.

Good communication and interpersonal skills

Accurate processing of information both verbal and written

Demonstrates high attention to detail with ability to solve problems on hand

Should demonstrate patience and confidence when dealing with customer enquiries and complaints

Strong attention to details

Expected Deliverables

Ensuring zero billing discrepancies

Accurate filing and maintenance of bills (online and offline)

Timely processing of insurance claims with TPA's

100% compliance to statutory and internal audits

Resolving customer queries and ensure zero escalations

Expected Start Date: 15/03/2024

Job Types: Full-time, Permanent

Pay: ₹8,819.06 - ₹31,344.42 per month

Benefits:

Provident Fund
Experience:

total work: 1 year (Required)
Work Location: In person