URGENT REQUIREMENT - CREDIT BILLING EXECUTIVE
KIMS Group of Hospitals | Hyderabad / Secunderabad
Position Snapshot
Department:
Billing
Grade:
Executive / Senior Executive
Experience:
2-5 years in hospital/healthcare credit billing
Education:
Any Graduate
Languages:
Fluent in English, Hindi & Telugu
Key Responsibilities
Counselling the patient/patient attendants
Responsible to counsel the patients with issues pertaining to administrative procedure for availing health insurance
Coordinates with the Insurance companies for admissions and approval.
Maintain good relationships with all the TPAs / Insurance Companies and also the doctors internally
Handle all the escalations which are taking longer time than the defined TAT
Develop good laisoning officers in reputed Insurance Companies and ensure a smooth approval process
Complete verification of the documents before submission to avoid rejections / delays and seek help of the doctor or insurance experts where ever required
Plan HR manpower as per the requirement and discuss on the additions and separations as per the load
Ensuring The Pre-Authorization Form To Be Filled By The Concerned Doctor As Per The Prescribed Format With Proper Signature Of The Doctor And The Patient/Patient Attendants
Send the pre-authorization form with relevant documents to the concerned insurance company /TPA
Update the approval status to the patient / patient attendant
Maintain records
Must-Have Skills
Sound knowledge of insurance/TPA workflows, cash-less & reimbursement protocols.