Experience : 1 to 2 Years in hospital industry only
Location : kandivali, Mumbai
Billing & Invoicing
- Generate accurate and timely invoices for inpatients based on treatment, procedures, and services received.
- Ensure proper application of hospital tariffs, packages, and corporate agreements.
- Process insurance claims and ensure documentation is complete for smooth reimbursement.
Patient Coordination & Documentation
- Explain billing details, estimated costs, and payment policies to patients and their families.
- Maintain and verify patient records, treatment details, and payment histories.
- Coordinate with the admissions team for deposit collection and billing approvals.
Insurance & TPA Coordination
- Liaise with insurance companies and Third-Party Administrators (TPA) for pre-approvals and claim settlements.
- Ensure all necessary documents (discharge summaries, medical reports, etc.) are submitted to insurers.
- Track claim rejections and follow up for corrections and approvals.
Revenue Cycle Management
- Monitor outstanding dues and follow up for payments.
- Ensure compliance with hospital financial policies and regulatory requirements.
- Generate daily reports on billing, collections, and pending dues for management review.
Collaboration with Other Departments
- Work closely with the finance and accounts team for reconciliation and audits.
- Coordinate with the medical and nursing staff to verify patient treatment details.
- Support the discharge process by ensuring all dues are cleared before patient release.
Compliance & Accuracy
- Ensure all billing processes adhere to hospital policies and healthcare regulations.
- Identify and rectify billing errors or discrepancies.
- Stay updated on government policies, GST, and medical insurance guidelines.
