Hospital Billing Executive jobs

. Pre-Admission & Admission

• Insurance Verification: Verify patient insurance coverage and TPA (Third-Party Administrator) limits, and collect required advances.
• Pre-Authorization: Coordinate with the hospital’s insurance desk for pre-approvals regarding cashless treatments and surgeries.
• Documentation: Collect and accurately record all patient demographic, personal, and medical history details.

2. During the Patient Stay

• Charge Capturing: Consolidate billable items from various departments, including room rent, pharmacy, laboratory investigations, and procedures.
• Interim Billing: Track running costs and issue interim bills or advance requests to patients/attendants to avoid massive lump sums.
• Cross-Department Coordination: Work closely with nursing stations, doctors, and pharmacy staff to verify services rendered and clarify any billing discrepancies.

3. Discharge & Claim Processing

• Bill Finalization: Review case sheets, treatment charts, and discharge summaries to prepare the final, accurate inpatient bill.
• Insurance Settlement: Submit final claims, along with necessary medical documents, to insurance companies or TPAs for processing and settlement.
• Patient Settlement: Process the final discharge by calculating the balance after insurance deductions and collecting the remaining cash, card, or digital payments from the patient.

4. Revenue Cycle & Reporting

• Query Resolution: Professionally explain bills to patients or their families, addressing their doubts or disputes regarding specific charges.
• Follow-Ups: Follow up on delayed or rejected insurance claims and coordinate the appeals process for denied reimbursements.
• Reporting: Generate daily and monthly revenue, billing, and collection reports for the hospital's finance and administrative management teams.

Pay: ₹180,000.00 - ₹250,000.00 per year

Benefits:

• Health insurance
• Leave encashment
• Paid sick time
• Provident Fund

Ability to commute/relocate:

• Calicut, Kerala: Reliably commute or planning to relocate before starting work (Preferred)

Education:

• Bachelor's (Preferred)

Experience:

• Hospital: 1 year (Preferred)

Language:

• Malayalam (Preferred)

Location:

• Calicut, Kerala (Preferred)

Shift availability:

• Night Shift (Preferred)

Work Location: In person