Ip Executive

Job Description

Primary Responsibilities Deposit Collection Ensure that the admission deposit is collected as per policy at the time of admission Ensure that the surgeries are proceeded only after collection of OT clearance amount minimum of 70% of the package IP Service Posting Ensure that the services provided to patients are posted in HIS on regular basis The respective stakeholders are informed regarding pending service posting and ensure the same is completed within 12 hours of informing OT billing Ensure the OT billing is closed within 4 hours of surgery completion. In case of items where GRN is pending, ensure that the OT billing is closed within 24 hours of surgery completion IP Billing Ensure that all the patients leave the hospital only after paying complete bill and bill closure in software and discharge clearance is issued to all the patients Keep track of Open bills of discharged patients and get them closed withing 24 hours Credit Billing In case of credit/corporate patients, the bill must be closed after receiving Final authorisation from the TPA/insurance company and clearing the patient payable amount from the patient Ensure that the required Document are sent as soon as possible and any query is resolved within 24 hours Discounts Ensure the staff, clinicians and their next of kin are given discounts as per policy Authorise the discounts as per policy for cash patients and ensure that the discount remarks are entered properly in HIS Ensure the discount approvals are taken in designated forms and authorisation is taken from respective authorities as per policy. The scanned copies of forms are uploaded in HIS for future reference. Bill cancellation & refund Authorise the bill cancellations due to billing error, admission cencellation or any other reasons. Document the same in HIS under reason for cancellation Ensure the refund is processed within 24 hours of bill cancellation Outstanding Ensure that the Daily monitoring of bill status and collection of outstanding is done without failure Bill Audits Ensure that 100% of the bills are audited before closing the bills. Recounselling In case the interim bill of patient goes beyond the estimate, ensure the staff informs the financial counsellor for recounselling of the patient Weekly responsibilities Review the weekly Score cards for Billing, Credit cell & Credit control Analyse the reasons for poor performing parameters and plan for improvement Keep track of outstandings cleared from Corporate, TPA and Govt schemes and accordingly get it closed in TCS Audit minimum 10% of IPD discharge files. Monthly responsibilities Prepare and present Monthly MIS to higher management. Discuss the challenge areas, propose and implement solutions Departmental Audit to review the process and Compliance to Policy and processes in Operational Areas Setting quality indicators and performance indicators of the department as per the policy of the Unit. Thouroughly Check the service master once in a months for for 10% of service codes in IPD bills for duplicate code, zero value items, pricing version vs payer type, payer name duplicacy, pricing/laddering across various room categories and get the same corrected Review monthly performance of OPD in terms of Business, Predictability, Patient Experience and timeliness General Responsibilities Tarrif & SOC Ensure that the SOC is updated in HIS as per the revised charges annually Ensure that the SOC is revised every year after market research and the same is implemented after getting approval from higher authorities Packages Ensure that all the packages/payer are created and the charges are updated as per SOC in HIS In case of any new package, propose the package and get it created through IT team. New service creation In case any new service needs to be created, ensure the same is requested to IT for creation as per standard process and the charges across all room/payer categories are updated Service master management Thouroughly Check the service master once in six months for duplicate code, zero value items, pricing version vs payer type, payer name duplicacy, pricing/laddering across various room categories and get the same corrected Staff Management Prepare duty rotation for the billing staff and ensure that the staff is properly trained in all standard processes of billing Ensure availability of sufficient number of staff in department Ensure the staff are well trained for delivering their duties Plan and design growth plan of staff Provide proper Job description and KRA KPIs to all the non-clinical staff Performance appraisal of staff Minimum Education B. Com/ M. Com/BBA Preferred Male Candidates Drop your resumes in the Below Mail ID's kangaroocare8@gmail.com hr@kangaroocareindia.com