Billing Executive

IP billing roles involve managing and processing billing for inpatient (IP) services in healthcare, with key responsibilities including creating accurate patient bills, submitting claims, managing insurance pre-authorizations and payments, and ensuring compliance with healthcare regulations. They act as a liaison between patients, clinical staff, and insurance companies, handling inquiries, resolving discrepancies, and ensuring timely revenue collection before patient discharge. Key roles and responsibilities

• Billing and claim processing:
• Generate and finalize accurate bills for inpatient services, including room, medicine, and procedure charges.
• Submit accurate and timely claims to insurance companies and third-party administrators (TPAs).
• Ensure charge capture from various departments like wards, pharmacy, and labs is accurate.
• Insurance and payment management:
• Verify patient insurance coverage and obtain necessary pre-authorizations and approvals.
• Process cashless and TPA billing, ensuring adherence to approved tariffs and package inclusions/exclusions.
• Manage payment collection, including ensuring payment is received before patient discharge.
• Compliance and record keeping:
• Maintain accurate and detailed billing records and electronic health records (EHR).
• Ensure compliance with all relevant billing and insurance regulations, such as Medicare/Medicaid rules.
• Coordination and communication:
• Coordinate with clinical departments (like nursing stations, OT) and non-clinical teams (like the discharge desk) to ensure billing accuracy.
• Respond to patient and stakeholder billing inquiries and resolve issues professionally.

Job Type: Full-time

Pay: ₹13,000.00 - ₹16,000.00 per month

Experience:

• Hospital Billing : 1 year (Preferred)

Location:

• Dindigul, Tamil Nadu (Preferred)

Shift availability:

• Day Shift (Required)
• Night Shift (Required)

Work Location: In person