Sr. Executive(Head)-Admission & Billing - Manipal Hospital, Ghaziabad

Job Description

Job Description: Skills Required: Strong leadership, team management skills with Excellent communication and interpersonal skills Comprehensive understanding of hospital admission processes and billing systems Customer service oriented with problem-solving capabilities Ensuring accurate billing for services provided to inpatient (hospitalized) patients, including room charges, medical procedures, medications, and consultations. Leading and managing the team responsible for processing and generating bills for inpatient services. Collaborating with other departments like clinical, pharmacy, and insurance for timely and accurate billing. Overseeing day-to-day administration, directing and controlling of the IPD operations. Ensuring close adherence to prescribed Standard Operating Procedures (SOPs) in all functional areas. Organizing regular training inputs and organizing feedback sessions from Staff and Customers. Monitoring customer feedback on a day-to-day basis - acknowledges and take corrective action, wherever required. Interacting with Consultants in IPD and catering to their requirements. Oversee and streamline billing process and for the timely submission of medical claims to insurance companies Cross Checking of patients bills i.e. balance and final respectively. Taking any confirmation with IPA and coordinating with TPA for any deficiency in getting approval. Manages billing system updates and providing patient financial counseling Going over insurance pre-authorizations and verifications and tracking payment and payment plans. Educating the patients about their rights and responsibilities. To ensure timely and accurate compliance with the standards laid down under ISO for the departmental function. To handle inter and intra departmental coordination for smooth discharge. Preparing TPA approval as per given clauses and coordinating with Cash/ Corporate bill on daily basis. Authentication of documents CGHS/ PSU and same dispatch to concern for final payment. Post discharge checking of CGHS/ TPA bills. To ensure timely action on patient queries related to billing. To follow Cash / Credit / Corporate billing / discount instructions. To ensure accurate and timely Billing. Maintaining register for discharge flow. Checking of referral, approval and mandatory requirements of institutions. Package mapping during night hours. Updating OT sheets and assigning packages of Cath/ OT. Special vigil on international patient billing. To be well groomed, punctual & adhere to company policies and practices. To effectively utilize Hospital Information System and other software provided. To comply with the service quality process, environmental & occupational issues & policies of the respective area.