10 Sep
|
Rhea Healthcare
|
Noida
10 Sep
Rhea Healthcare
Noida
Role & responsibilities
Ensure all charges are correctly billed and payment collected on time.
- Cashless ~ all activities related to insurance reimbursement.
- Cash ~ end to end management of transactions.
- Query handling ~ understand charges, explain and resolve customer queries.
- Records ~ ensure billing and accounting records and documentation are maintained accurately and manage account payments.
At Admission:
- Confirm the customer has been given the package cost estimation document and is clear about it.
Cashless Transactions:
Prior to admission -
- Collect required documents from customer; confirm eligibility and prepare pre-authorization form.
- Submit completed documents to Insurance company.
- Once authorization received, update the customer.
At Admission -
- In case pre-auth has not been received , collect Interim Advance; amount as per SOP.
Cash Transactions:
- Collect advance as per SOP.
Billing activities:
- Competently operates the Billing module on Hospital Information System.
- Capable of operating the barcoding / credit card machine for receiving payments.
- Once patient is admitted, raise all documents as per SOP.
- Update all IP folios based on entries on the Activity Sheet charges for diagnostics, lab, medications, and services given to patients.
w Based on Consultant advice, Ward raises the Request Form to concerned dept for the
investigation; Doctor/technician completes the investigation and updates the Activity Sheet.
- Consultant visits to the patient are tracked; patient folio is updated with consultant charges where applicable as per category of consultants (specialist, super specialist)
- Bed side procedures are tracked and billed.
- Ensure credit balance is maintained; when the amount crosses threshold, request patient attendant to pay; escalate to reporting Manager / Facility Director in case of non-payment.
- To provide interim provisional bill as per SOP to attender & insurance.
- Ensuring referral doctor charges are included in Billing, from Activity Sheet.
- Confirm all charges have been entered in the final bill before settlement and discharge.
- To compile all investigation reports, supporting documents for charges, Discharge Summary & other relevant documents along with the patients final Bill.
- To maintain individual TPA status as regard to the Outstanding, Bills Submitted & Payment Status.
- Responsible for all Billing related Reports : daily collection Report; discharge report; TATs; maintain and update cashless tracker outstanding.
Ensure adherence to all Billing protocols
At Admission:
- Confirm the customer has been given the package cost estimation document and is transparent about it.
Cashless Transactions:
Prior to admission -
- Collect required documents from customer; confirm eligibility and prepare pre-authorization form.
- Submit completed documents to Insurance company.
- Once authorization received, update the customer.
At Admission -
- In case pre-auth has not been received , collect Interim Advance; amount as per SOP.
Cash Transactions:
- Collect advance as per SOP.
Billing activities:
- Competently operates the Billing module on Hospital Information System.
- Capable of operating the barcoding / credit card machine for receiving payments.
- Once patient is admitted, raise all documents as per SOP.
- Update all IP folios based on entries on the Activity Sheet charges for diagnostics, lab, medications, and services given to patients.
w Based on Consultant advice, Ward raises the Request Form to concerned dept for the
investigation; Doctor/technician completes the investigation and updates the Activity Sheet.
- Consultant visits to the patient are tracked; patient folio is updated with consultant charges where applicable as per category of consultants (specialist, super specialist)
- Bed side procedures are tracked and billed.
- Ensure credit balance is maintained; when the amount crosses threshold, request patient attendant to pay; escalate to reporting Manager / Facility Director in case of non-payment.
- To provide interim provisional bill as per SOP to attender & insurance.
- Ensuring referral doctor charges are included in Billing, from Activity Sheet.
- Confirm all charges have been entered in the final bill before settlement and discharge.
- To compile all investigation reports, supporting documents for charges, Discharge Summary & other relevant documents along with the patient’s final Bill.
- To maintain individual TPA status as regard to the Outstanding, Bills Submitted & Payment Status.
- Responsible for all Billing related Reports : daily collection Report; discharge report; TAT’s; maintain and update cashless tracker outstanding.
- Aware of escalation matrix.
At Discharge :
- Hand over complete set of documents to the patient attender; take signature in the Hand over register as confirmation.
- Coordinate with TPA for final authorization; ensure within TAT.
- Ensure that there are no Billing delays during discharge of patients; to be within the Discharge TAT.
- Share Discharge TAT daily for every discharge – cash & cashless.
Doctor Accounting:
- Responsible for Visiting Consultants & Referral Doctor Accounting.
Blood: [ for Hospitals that do not have own blood bank]
- Arrange for blood as per doctors’ advice; check with empaneled blood banks, coordinate sending of blood sample for matching; either reserve the blood as per requirement or arrange for its delivery and payment.
Fulfilling the Service Vision & Inter-department Coordination:
- Is well-groomed as per standard; maintains discipline and decorum.
- Responsible for the implementation of the Service Vision – ensures personalized care while delivering service.
- Engages well with Clinicians and colleagues, builds respect and rapport.
- Coordinates with support departments to ensure customers are comfortable and services are as per standard.
- Maintains a cordial interpersonal relationship with all colleagues.
Personal Development:
- Attends in-service programs and trainings to enhance knowledge.
- Ensures is up to date with latest protocols and practices.
Preferred candidate profile
Strong functional knowledge.
- Competence in:- account processes and costing; numeric skills; computer skills , understands software and capable of accurate entries and updation.
📌 IP Billing - Incharge (Noida)
🏢 Rhea Healthcare
📍 Noida