Overall Supervision and functioning of the department to deal with billing clarifications with respect to Cash, TPA, corporate. Ensure staff training in billing & Billing audit Policy. Improve processes to achieve quick and error free billing.
Ensure all the services provided in hospital are mapped in HIS with their tarrif as per bed category and payer category

Deposit Collection

Ensure that the admission deposit is collected as per policy at the time of admission

Ensure that the surgeries are proceeded only after collection of OT clearance amount

IP Service Posting

Ensure that the services provided to patients are posted in HIS on regular basis

The respective stakeholders are informed regarding pending service posting and ensure the same is completed within 12 hours of informing

OT billing

Ensure the OT billing is closed within 4 hours of surgery completion.

In case of items where GRN is pending, ensure that the OT billing is closed within 24 hours of surgery completion

OP/IP Billing





Ensure that all the patients leaves the hospital only after paying complete bill and bill closure in HIS and discharge clearance is issued to all the patients

In case the service is not available in HIS and has been posted as "Unlisted services", the recent service request is created as per Service Code creation SOPs. The billing manager has to ensure that no service is posted under Open billing without their approval

Keep track of Open bills of discharged patients and get them closed within 24 hours

Credit Billing

In case of credit/corporate patients, the bill must be closed after receiving Final authorisation from the TPA/insurance company and clearing the patient payable amount from the patient

Ensure that the required Document are sent as soon as possible and any query is resolved within 24 hours

Discounts

Ensure the staff, clinicians and their next of kin are given discounts as per policy

Authorize the discounts as per policy for cash patients and e

📌 Head Billing Hubballi (India)
🏢 Health Care Global Enterprises
📍 India