The Billing Supervisor is responsible for accurately processing and managing billing for patients admitted to the hospital as well those who are receiving medical services without being admitted to hospital . This includes verifying insurance, coding diagnoses, procedures, generating patient invoices, ensuring timely reimbursement from payers, outpatient clinics, same-day surgeries, lab tests, and diagnostic services.
Roles & Responsibiliteis:
Review and process inpatient hospital charges based on medical records.
Verify patient insurance coverage and benefits prior to billing.
Coordinate with coding team to ensure accurate use of ICD and CPT codes.
Submit claims to insurance companies and follow up on pending or denied claims.
Work with patients and families to explain bills and resolve billing issues.
Ensure compliance with government regulations (e.g., Medicare, Medicaid) and hospital policies.
Maintain accurate records of billing activities and payments.
Collaborate with physicians, nurses, and administrative staff to clarify charges or documentation.
Generate and review charges for outpatient services.
Verify insurance eligibility and coverage for outpatient procedures.
Accurately input codes (ICD-10, CPT, HCPCS) for outpatient services.
Submit and track claims to insurance companies, third-party payers, and patients.
Resolve claim denials or rejections in a timely manner.
Provide billing support to patients and answer inquiries about charges.
Maintain up-to-date knowledge of payer rules and outpatient billing policies.
Coordinate with providers and departments to clarify and correct charges.
Qualification:
High school diploma or equivalent (associate degree in healthcare administration preferred).
Experience with hospital billing systems (e.g., Epic, Cerner, Meditech).
Knowledge of inpatient billing regulations and coding standards.
Strong attention to detail and problem-solving skills.
Good communication and customer service skills.
Experience in outpatient billing and coding.
Familiarity with outpatient insurance guidelines and compliance requirements.
Proficiency in billing software and electronic medical records (EMRs).
Excellent organizational and communication skills.
Job Type: Full-time
Pay: ₹30,000.00 - ₹35,000.00 per month
Work Location: In person
Beware of fraud agents! do not pay money to get a job
MNCJobsIndia.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.