Experience: Hospital billing experience with exposure to billing documentation and claim processes.
- Core Experience in hospital billing - Government Schemes (CGHS, ECHS, PMJAY, RGHS, etc.)
Key Responsibilities:
- Conduct billing sample audits across all Shalby hospitals.
- Monitor file submission timelines and compliance.
- Track and follow up on NMI cases and closure documentation.
- Ensure proper documentation submission and coordinate for corrections.
- Follow up on resubmissions and closure of pending cases.
- Identify process gaps and support corrective actions to minimize deductions and improve claim realization.