1 In-Patient s Financial Counselling o On Admission Patient attendant will be given financial counseling for their treatment expenses o Providing estimation package for the patients who are advised for surgery complicated sensitive case Estimation includes the detailed explanation to the patient relatives on the packing inclusions and exclusions and also to ensure to collect the PKG amount on or before the Surgery o To involve and solve difficult payment associated business problems 2 Billing Functional activities o Develops and implements new procedures to improve the quality and quantity of work processed ensure policies are communicated and administered consistently o Monitors daily operating activity of department and makes necessary adjustments in work assignments o Providing interim bill updating to all the patients and to collect adequate advance deposits accordingly This process includes the explanation on the billed amount to the patients relatives And to provide complete clarification transparency to the patients on their billed amount ensuring the satisfaction and complete understanding of the patient 3 IP Billing - discharge Process o Ensuring the bill accuracy on the Final bill before the discharge By doing Pre and Post audit on the finalized bills o Attending all the queries of the In-patients and their relatives or guest regarding the discharge and final bill amount in the hospital 4 Insurance patient preauthorization process o Ensuring all preauthorization filled properly with package medical expenses o Verifying the final claim submission to insurance with all blood investigation radiology and relevant reports attached the claim to avoid the disallowance o Ensuring all insurance claims dispatching within TAT period o Monitoring and replying post discharge queries from the TPA S Insurance o Following up of insurance payment 5 Master Tariff Updating o New tariff updating preparing current packages and periodical revision of the master tariff as per the instruction of the management unit head 6 Leadership Supervision o Lead supervise and mentor the billing team to ensure efficient accurate and timely billing operations o Monitor team performance provide coaching conduct regular performance evaluations and implement professional development opportunities o Ensure that the billing team adheres to all organizational policies and industry standards 7 Compliance Documentation o Ensure compliance with healthcare billing regulations including HIPAA Medicare Medicaid and commercial payer requirements o Stay up-to-date with healthcare billing laws and coding changes e g ICD-10 CPT and HCPCS and ensure accurate implementation o Maintain accurate records of billing activities payments adjustments and refunds ensuring proper documentation for audits 8 Financial Reporting Analysis o Analyze billing and accounts receivable data to identify trends improve efficiency and maximize revenue recovery o Prepare regular reports for senior management on billing performance cash flow and outstanding accounts o Recommend process improvements to enhance billing accuracy minimize denials and reduce days in accounts receivable o Monthly MIS report sharing with the management 9 Collaboration Communication o Work closely with physicians department heads and clinical staff to ensure proper coding charge capture and accurate billing of services rendered o Serve as a liaison between the billing department and other healthcare departments to ensure seamless billing processes o Communicate with insurance companies to resolve claim issues including denials and underpayments o Handle patient inquiries regarding bills insurance and payments providing excellent customer service and resolving issues efficiently 10 Training Process Improvement o Train new and existing billing staff on billing systems coding practices payer policies and any other relevant billing procedures o Continuously assess billing processes and recommend enhancements or changes to improve overall revenue cycle performance o Implement strategies to reduce claim denials optimize payment posting and improve collections Any other duties assigned to them by the management from time to time Job Types Full-time Permanent Pay 40 335 63 - 70 431 50 per month Benefits Provident Fund Experience total work 3 years Preferred Work Location In person