Prepare and verify TPA, Insurance, Corporate, CGHS/ECHS, and Cashless patient bills.
Verify beneficiary eligibility, referrals, approvals, and package applicability for CGHS/ECHS patients.
Coordinate with TPAs, Insurance Companies, and Government Authorities for pre-authorizations, enhancements, approvals, and claim processing.
Ensure complete claim documentation and timely submission for reimbursement.
Verify all patient charges before discharge to prevent revenue leakage.
Follow up on pending approvals, claims, payments, deficiencies, and claim rejections.
Resolve billing discrepancies and coordinate with MRD, Nursing, Pharmacy, Laboratory, Finance, and other departments.
Maintain billing records, MIS reports, claim status reports, and outstanding receivables.
Guide patients and attendants regarding billing, insurance, and government scheme-related queries.
Ensure compliance with NABH standards, hospital policies, CGHS/ECHS guidelines, and insurance regulations.
Support internal/external audits and assist in training junior billing staff.

Pay: ₹20,000.00 - ₹350,000.00 per month

Perks
Adaptable schedule
Paid sick time
Paid time off
Provident Fund

Work Location: In person

📌 Sr Billing Executive Nagpur (India)
🏢 SWASTHYAM SUPERSPECIALITY HOSPITAL,NAGPUR
📍 India