Assist with overseeing patient billing services on a timely basis. Answering billing related questions from patients, doctors, and insurance companies. Proactively determine solutions for handling unique billing situations and assist the Business Manager with end-to-end Admission & Billing Services.
Facilitate on accurate estimates for treatment and procedures, available insurance partners, pre-auth and post-auth assistance, invoices and end-to-end In-patient Admission and Billing Services.
Ensure that patients waiting time is reduced at the Billing counter.
Work independently with customers / clients wisely.
Maintain courtesy and ensure clients remain comfortable and cooperate in providing the necessary information that client may need and on billing documents and receipts.
Maintain full concentration in the course of duty to update digits of transactions accurately, because inaccurate billing information could jeopardize the integrity of the hospital.
Processing patients bills, including calculating charges and assigning specific codes.
Assist for end to end internal and external clarification on Patient Billing and resolve issues pertaining to payment and billing if any.
Make use of available and correct codes to interpret patient health claims and submit records to insurance companies as per requirement.
Ensure that patients claims are processed based on the services rendered at Hospital and submitted to the authorities in due time if any and keep the patient updated timely on the status of their cashless facility and ensure timely reply to all queries from the TPA in co-ordination with Consultants.
Ensure collection of non-medical expenses or any such expenses which are not covered by the corporate or TPA before patient leaves premises.
Ensure all original documents along with the bills are retained by us for claiming the same from respective TPA / Corporate.
Follow-up with patients regarding outstanding balances or discrepancies in billing statements if any and coordinate with health care providers regarding insurance claims, contact insurance providers regarding outstanding balances, denied claims, and resolving payment issues.
Independently review billing records and ensure all transactions have been entered correctly and assist to identify any errors. Also, ensure correct invoice is updated and generated on services provided to patients, and confirm them with Doctors, Nurses, Diagnostic Services and others if necessary.
Act as the point of contact for colleagues of Hospital and collaboratively work for end-to-end smooth services.
Maintains confidentiality on all patient information.
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