To be filled up as per the requirement of the Division / unit / function / territory
Grade
B3
Reporting To
Billing Head
Division
Unit
Unit
Indore
LOCATION DETAILS
Please mention the correct office location of the Role selected above and fill in the other geographic details
Base Location (City)
Indore
Country
India
Job-Holder Specifications
QUALIFICATION
Basic Qualification / Education / Vocational Training
B.Com
Advanced
Qualification / Certification / Specialist Training
M. Com (will be an added advantage)
EXPERIENCE
Minimum Experience
15 years
Specific/Relevant Experience
12 years
COMPETENCIES
Functional Skills and Capabilities
Behavioural
- Assertive in patient problems
- Empathy towards patients
- Patience and tolerance
- Convincing power
Functional
- Articulate with billing softwares
- Record keeping
- Knowledge about various wards, O.T , services and packages
- Knowledge of process of TPA, Self Pay and Corporate
- Hospital policies and norms
- Thorough with payment modes and terms
- Knowledge of medical codes
Objective
To manage cash related transactions without error and ease the process of payment for patients by properly checking the services opted from admission to discharge.
Key Responsibilities
1
Settlement Process
- Fetching advices from TPA Co. Portal/ in person contact from co. Where portal is not available.
- Verifying with bank statement if the payment is received
- Verifying concession and TDS amount and reconciliation/ settlement in SRIT
- In case of illegitimate deduction from TPA co. , communicating with TPA co. For making payment.
- Follow up for payment in case where wrong UTR received/ non payment non bank but advice generated.
- To maintain settlement tracker on daily basis and report to Billing manager & accounts .
- Providing Weekly settlement report to Billing heads & accounts department .
- To Maintain deduction tracker and report to Billing manager & Accounts department .
- Communicate and deal with companies (payer).
- Recovery of Govt. & Insurance patient.
2
Data Maintenance
- To maintain settlement tracker on daily basis and report to Billing head.
- Any other work assign by management.
Outstanding & Recovery Report
- Follow up with Companies.
- Credit bill follow up and credit payment follow up.
- Preparing credit settlement data