1. Responsible for the determination of patient invoice by capturing services noted in patient charts; clarifying services with the physicians.
2. Responsible liasioning with various TPA and Credit agencies for processing of the Bills
3. Responsible for billing issues by discussing contracts with third-party payers; explaining insurance contracts with patients / relatives; negotiating settlement.
4. Look after maintenance of the patient's invoice files by entering.
5. Will provides billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends to respective stakeholders
6. Responsible for implementation of various Billing SOP's as directed
7. Responsible for conducting the billing audits as per the schedule
8. Assist in balancing accounts receivable verifying bills of the patients. Prepare and mail statements.
9. Post payments received to the appropriate patient's account. Process and post charge slips to patient accounts.
10. Monitor accounts receivables
11. Assure that patient information records are appropriately filled. Record payments received to appropriate log.
12. Assist in preparing monthly financial statements
13. At the time of admission counsel the patient about charges and packages .
14. Prepare for cash patient final bill breakup of the patient at the time of discharge.
15. IP patient’s discharges final bill and insurance bill approval follow up from insurance and collect the final amount from cash patient and insurance if any like Copayment, NME, and insurance Claim Submissions.
Skill Sets:
1. Exposure to the softwares like Billing Module and Administration Module
2. Listening skills, to understand exactly what customers require
3. Confidence, patience, politeness, tact, and diplomacy, when dealing with difficult situations
4. An ability to work well under pressure Industry Type Healthcare / Insurance