Revenue Cycle Management:

Oversee and manage the hospital's entire revenue cycle, including patient registration, charge capture, claims submission, payment posting and collections.
Claims Management:

Supervise the claims submission and processing process to ensure accuracy, compliance with regulations and timely reimbursement.
Insurance Verification:

Coordinate with the insurance department to verify patients' insurance coverage, perks and eligibility to facilitate accurate billing and claims submission.
Billing and Invoicing:

Ensure that billing procedures are accurate, timely and in compliance with regulatory requirements. Supervise the billing team to review, process and submit claims.
Denial Management:

Develop strategies for reducing claims denials and rejections and work to resolve issues promptly to facilitate claim resubmission.
Collections:

Manage the collections process, including overseeing the work of collection agents and working on patient payment arrangements, where necessary.
Financial Analysis:





Analyze financial data and key performance indicators to identify areas for improvement and develop strategies to maximize revenue recovery.
Reporting:

Prepare and present regular financial and revenue cycle reports to the hospital's leadership, highlighting areas that need attention and offering recommendations for improvement.
Compliance and Regulations:

Ensure that all revenue recovery practices adhere to healthcare regulations, coding guidelines and billing compliance standards, including HIPAA and other relevant laws.
Customer Service:

Interact with patients, insurance companies and other stakeholders to address inquiries, concerns and disputes related to billing and claims.
Continuous Process Improvement:

Identify prospects for streamlining and improving revenue recovery processes and work collaboratively with other hospital departments to implement enhancements

Role & responsibilities

Preferred candidate profile

📌 Opening For Executive Recovery Pune (India)
🏢 Jehangir Hospital
📍 India