25 Aug
|
Continental Hospitals
|
India
25 Aug
Continental Hospitals
India
Job Summary
The IP Billing Executive is responsible for handling end-to-end In-Patient billing operations with special focus on Insurance, TPA, and PSU (Public Sector Undertaking) billing cases. The role ensures accurate bill preparation, timely claim processing, coordination with insurance/TPA representatives, and smooth discharge procedures.
Key Responsibilities
1 IP Billing Operations
Prepare provisional and final IP bills accurately.
Verify all service entries including room rent, investigations, procedures, pharmacy, implants, and consumables.
Cross-check consultant orders and treatment sheets before final bill generation.
Ensure timely bill closure to avoid discharge delays.
Maintain billing accuracy as per hospital tariff and package rates.
2 Insurance / TPA Handling
Process cashless and reimbursement cases.
Coordinate with insurance companies and TPAs for:
Pre-authorization approvals
Enhancement requests
Query clarification
Final claim submission
Ensure submission of complete documentation:
Claim form
Discharge summary
Investigation reports
Final bill and payment receipts
Follow up on pending approvals and claim settlements.
Analyze and manage claim deductions.
3 PSU / Corporate Billing
Handle PSU and corporate tie-up billing as per agreement terms.
Ensure compliance with PSU documentation requirements.
Track PSU approvals and maintain billing records.
Coordinate with corporate desk and finance team for payment follow-up.
4 Documentation & Compliance
Maintain accurate billing records and claim files.
Ensure compliance with hospital policies and insurance guidelines.
Support audits by providing necessary billing documentation.
Maintain confidentiality of patient financial information.
5 Patient & Internal Coordination
Explain billing details and insurance coverage to patients/attendants.
Coordinate with nursing, pharmacy, and doctors for missing entries.
Resolve billing discrepancies and patient
📌 Walk In Ip Billing Executive Hyderabad (India)
🏢 Continental Hospitals
📍 India