15 Oct
|
Kauvery Hospital
|
Chennai
15 Oct
Kauvery Hospital
Chennai
Position Overview:
We are looking for a detail-oriented and experienced IP Billing Executive to manage the end-to-end billing process for admitted patients. In this role, you will be responsible for ensuring accuracy in hospital charges, handling insurance/TPA claims, and generating final bills upon patient discharge.The ideal candidate will possess a deep understanding of medical tariffs, packages, insurance documentation, and hospital management systems, ensuring a smooth and empathetic billing experience for patients and their families.
Key Responsibilities:
Billing & Discharge Management
- Generate accurate bills: Prepare, verify, and finalize interim and final in-patient bills by auditing nursing charts, pharmacy orders, doctor visit fees, and surgical charges.
- Track daily utilization: Monitor daily room rent, investigative charges, and package limits against the patient's advance deposit or approved insurance limit.
- Coordinate discharges: Streamline the final discharge billing process to minimize waiting times for patients while ensuring zero revenue leakage for the hospital.
Insurance & TPA Coordination
- Process pre-authorizations: Coordinate with the TPA/Insurance desk to check approval amounts, send required medical documentation, and request enhancement approvals during extensions of stay.
- Resolve query denials:
Review and resolve billing queries or deductions raised by insurance companies or corporate panels before final discharge.
Patient Support & Cashiering
- Counsel patients: Explain complex billing breakdowns, package inclusions, and outstanding balances to patients and their families clearly and empathetically.
- Collect payments: Collect cash, card, or digital payments for non-payable insurance items or self-paying patients, and issue official receipts.
Required Skills & Qualifications:
- Experience: 14 years of experience explicitly in IP Billing / TPA Billing within a multi-specialty hospital.
- Education: Graduate degree in Commerce (B.Com), Healthcare Administration, or a related field.
- Software Proficiency: Hands-on experience working with Hospital Information Systems (HIS) or specialized medical billing software.
- Technical Knowledge: Strong understanding of medical terminology, GIPSA/Non-GIPSA tariffs, surgical packages, and insurance deductions.
- Soft Skills: Excellent numerical accuracy, conflict resolution skills, and the ability to remain calm and polite under pressure.
What We Offer:
- Market-competitive salary and statutory benefits (PF, ESI, Gratuity).
- Clear career growth path within healthcare administration.
- A supportive, team-oriented work environment.
📌 IP Billing Executive (Chennai)
🏢 Kauvery Hospital
📍 Chennai