IP Billing Executive (Hospital Experience)

Job Description

Greetings form Rainbow Hospitals !!!!! Job Summary: Responsible for maintaining revenue by establishing, implementing, and controlling billing system. 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 TPAs and resolve their queries (TPAs 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. 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 TPAs 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. Responsible for maintaining all TPAs (Third Party Administrator) data and MIS. To maintain a good relationship with TPAs 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. 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: 2+ 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 TPAs 100% compliance to statutory and internal audits Resolving customer queries and ensure zero escalations