- Supervise and manage OP & IP billing teams.
- Ensure accurate and timely generation of patient bills.
- Monitor daily billing activities, reconciliations, and cash collection.
- Validate service coding (ICD/CPT) and pricing in accordance with policies.
- Generate and present daily, weekly, and monthly collection reports to senior leadership.
- Insurance Coordination & Claims Processing
- Oversee pre-authorization, insurance eligibility verification, and approvals.
- Supervise submission of insurance claims and monitor turnaround times.
- Follow up on pending claims and coordinate with insurers for settlement.
- Address claim rejections, denials, and initiate appeals as necessary.
- Compliance & Documentation
- Ensure compliance with medical billing regulations and insurer requirements.
- Maintain accurate documentation of billing and insurance communications.
- Stay updated with changes in insurance guidelines and tariff revisions.
- Stakeholder Coordination
- Liaise with clinicians, patient service departments, and finance teams.
- Address patient concerns related to billing or insurance coverage.

Coordinate with TPA/insurance representatives for seamless operations.

📌 Hospital Billing And Insurance Coordinator (Bengaluru)
🏢 Gunasheela Surgical & Maternity Hospital
📍 Bengaluru