Executive - Billing

Role & responsibilities

Daily Responsibilities

OP Billing

Registration of new OP Patients and collection of registration fees

Billing for OP Consultations, and OP based services. Ensure correct service name is selected for billing the adviced service.

Post billing guide the patients to appropriate counters to take adviced services Pharmacy, Lab services and Radiology services

In case corporate patient, guide the patient to credit cell to understand pre-requisites for availing service under corporate benefits.

To understand corporate MOUs for OP services and bill accordingly.

Download interim bill report every morning and collect outstanding amount if the outstanding amount exceeds the limit mentioned in Billing policy.

Ensure the patients deposit the outstanding amount before end of day. In case payment is not made, escalation matrix to be followed as per Outstanding policy

Collect the admission deposits, OT Clearance amount or daily deposits as per cash policy till the Pre-authorization is received, if the patient is credit patient.

IP Service Posting

Daily Service posting in TCS HIS, for services provided to IP ward patients. Ensure service postings are with correct name & quantity. Document the same in service sheet.

IP Billing

Check the Planned discharges list for next day, Complete the service posting in TCS HIS. Ensure that the bill is finalised a day prior to discharge.

Prepare Interim bill for the discharge patient, explain the bill components and take signature of patient/relative on bill.

Collect payment / Guide patient to cashier for payment collection. Generate the final Biull and handover to the patient.

Inform Head- billing regarding process deviations in system (discharge billing, discounts, admission deposit, OT booking, OT clearance) with reasons

Discuss patients with higher TAT for billing along with reasons

Download cash scroll report at the end of the day, cross check the cash collected against cash scroll report. Submit the cash to cashier at the end of the shift

Discounts

Ensure discounts are approved and authorization by authorising person as per policy. Document the same in TCS- HIS. Document the same in proper form.

Document billing activities in proper forms and formats. Discounts to be documented in discount forms and get signed from respective authorised

Bill cancellation & refund

Initiate bill cancellation for the approved service, only after receiving authorization from authorising person as per billing policy

Initiate refund process for services that were cancelled/Wrongly billed.

Generate Refund report for all refunds made to patient for radiology services/service cancellations.

In case of service cancellation/refund, generate a credit note in HIS and capture the reason for refund.

Forms and Formats

Document all the billing activities in proper forms and formats as mentioned in billing policy.