Billing Executive

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