Hospital Billing Head DISHHA STAFFING SERVICES PVT LTD

10.0 - 20.0 years

0 Lacs

hyderabad, telangana

On-site

As the Billing Head (GM/AGM/DGM level) in the Revenue Cycle Management/Billing department, you will be responsible for overseeing and managing all billing operations within the hospital. Your role will involve ensuring accuracy, compliance, and efficiency in billing processes across OPD, IPD, diagnostics, insurance, and TPA. You will need to provide strategic leadership, optimize processes, and manage teams to ensure timely revenue realization and enhance patient satisfaction. Your key responsibilities will include overseeing day-to-day billing operations, ensuring timely generation and submission of accurate bills, implementing internal controls to prevent revenue leakage, ensuring compliance with regulatory requirements, coordinating with TPA/insurance desk for claims, tracking revenue cycle KPIs, identifying and implementing process improvement initiatives, leveraging HIS tools for automation, leading and mentoring the billing team, organizing training sessions on billing policies, coordinating with various departments for seamless operations, addressing patient grievances related to billing, and providing prompt resolutions. To qualify for this role, you are required to have a Bachelor's degree in Commerce/Finance/Healthcare Administration, while an MBA/PGDM in Finance or Hospital Administration is preferred. You should have 10-20 years of relevant experience in hospital billing and revenue cycle management, including prior leadership experience at the DGM/AGM/GM level in a reputed multispecialty hospital. Additionally, you should possess in-depth knowledge of healthcare billing systems, TPA processes, and revenue management, proficiency in hospital ERP/HIS systems, strong analytical and problem-solving skills, excellent communication and stakeholder management abilities, and effective team leadership skills. Your performance in this role will be measured based on various metrics such as billing error rate, turnaround time for bill finalization, revenue leakage incidents, insurance claim processing TAT, and patient satisfaction with billing services. Your success in this position will rely on your ability to effectively manage billing operations, drive process improvements, ensure compliance, and enhance overall revenue realization while prioritizing patient satisfaction.,

Posted 5 days ago

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TPA Coordinator Nucleon Health

1.0 - 3.0 years

0 Lacs

borivali, maharashtra, india

On-site

Job Description: We are seeking a dedicated and detail-oriented TPA (Third Party Administrator) Coordinator to join our team. The TPA Coordinator will be responsible for managing all activities related to TPA operations, including coordination with insurance companies, claim settlement, documentation, and ensuring smooth cashless hospitalization processes for patients. Key Responsibilities: Coordinate with TPAs and insurance companies for cashless hospitalization approvals and claims settlement. Verify and process pre-authorization requests and insurance documents. Maintain accurate records of insurance approvals, rejections, and pending cases. Ensure compliance with all TPA guidelines and hospital policies. Handle queries from patients and their families regarding insurance coverage and documentation. Follow up with TPAs/insurance companies for timely claim settlements. Prepare and submit required MIS reports related to TPA activities. Work closely with hospital billing and finance teams for reconciliation of claims. Requirements: Bachelors degree in any discipline (Healthcare/Insurance background preferred). 13 years of experience in TPA coordination, hospital billing, or health insurance sector. Strong communication and interpersonal skills. Good knowledge of health insurance policies and TPA processes. Proficiency in MS Office (Excel, Word). Ability to work under pressure and handle multiple cases simultaneously. Benefits: Competitive salary package. Health insurance and other employee benefits. Opportunity to work in a growing healthcare organization. Professional development and training support. Show more Show less

Posted 1 week ago

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