HOD - Billing & Mediclaim

Job Description

Role & responsibilities Supervising the staff and ensuring that they are properly trained in their jobs Recommends future course of action based on data interpretation and recommends system changes, as appropriate. Overall Supervision of the dept. Managing of day to day functions of the Dept. Surprise checks and Audits of staff and Dept. Functions. Resolutions of issues related to patients as well as staff. Monitoring the billing daily Updation, Finalization of Billing, Intimation to Patients, Estimate, Internal Recovery Managing day to day functions of the department Solving issues related to patients /Relatives & Billing department staff Preparing training schedule, follow up. Monitoring outstanding amount of self-paying & outside agencies . Identifying the process gaps and solving them by strengthening the process. Documentation & implementation of the same according to the NABH standards.. Keeping daily check on discounts, concessions & adjustments approved as per schedule. Coordination in case of new tie-ups.(Cross checking discounts / disallowance in the system - briefing to all) Prepare MIS with regards to schedule wise billing, concession, outstanding & Quality indicator as per protocols. Daily internal audits of at least 2 provisional & 2 final bills. Checking & verification of final bills before sending to accounts department. Identify need of new services in HIMS and keeping track of the same. Ensure that the queries related to billing and estimates are solved. Counseling the patient relatives about the Services & about the schemes available in hospital. Resolutions of issues related to patients. Recovering the Outstanding bills from the patients. Verifying the amount received as per the bill. And to ensure that the correct amount has been deposited/ collected as per the policies Train the juniors and trainees in billing department. Make / Approve the duty roster for billing department if required by HOD Billing.