Responsibilities
Manage and process billing activities related to Central Government Health Scheme (CGHS) in accordance with hospital policies and government regulations.
Ensure accurate and timely submission of claims to CGHS and follow up on pending or denied claims for resolution.
Reconcile accounts to ensure all transactions align with patient records and financial statements.
Collaborate with the finance team to streamline billing processes and improve revenue cycle management.
Handle patient inquiries related to billing and insurance claims, providing explicit and effective communication.
Maintain compliance with healthcare regulations and billing standards to minimize errors and discrepancies.
Review and verify patient billing data,
ensuring accuracy in the billing system and adherence to CGHS guidelines.
Coordinate with insurance companies and other third-party payers to resolve claim disputes and discrepancies efficiently.
Prepare regular reports on billing activities, account reconciliations, and revenue trends for management review.