Ipd Billing Executive

Roles & Responsibilities

• Billing & Invoicing:

  Generate and process accurate and timely bills for all inpatient services, including room charges, procedures, and medical consumables.

• Insurance Claims:

  Prepare, submit, and follow up on insurance claims for insured patients, ensuring all necessary documentation is attached.

• Pre-authorization:

  Coordinate with insurance companies to obtain pre-authorization for planned treatments and verify patient coverage.

• Payment Reconciliation:

  Reconcile payments received from cash, credit, and insurance sources, identifying and resolving any discrepancies.

• Patient Communication:

  Act as the primary point of contact for patients regarding billing inquiries, explaining charges and resolving any disputes professionally.

• Corporate & Credit Billing:

  Manage billing and payment follow-ups for corporate clients and other third-party credit agreements.

• Collection Management:

  Track outstanding balances and actively follow up with patients or insurance providers to ensure timely and complete payment collection.

• Record Keeping:

  Maintain meticulous records of all billing transactions, payments, and patient communications in the billing system.

• Compliance & Reporting:

  Ensure all billing processes comply with hospital policies and government regulations. Generate regular reports on billing activities and collections.

• Interdepartmental Coordination:

  Liaise with various departments, including medical records, pharmacy, and clinical staff, to ensure accurate and complete billing information.

Key Skills & Qualifications:

• Bachelor's degree in Finance, Accounting, Business Administration, or a related field.
• Proven experience in healthcare billing, preferably in a hospital or inpatient setting.
• Strong knowledge of medical billing software, ICD-10, and CPT codes.
• Excellent attention to detail and accuracy.
• Proficiency in Microsoft Office Suite, especially Excel.
• Strong communication and interpersonal skills.