Role & responsibilities 1. Revenue Cycle Management: Oversee and manage the hospital's entire revenue cycle, including patient registration, charge capture, claims submission, payment posting and collections. 2. Claims Management: Supervise the claims submission and processing process to ensure accuracy, compliance with regulations and timely reimbursement. 3. Insurance Verification: Coordinate with the insurance department to verify patients' insurance coverage, advantages and eligibility to facilitate accurate billing and claims submission. 4. Billing and Invoicing: Ensure that billing procedures are accurate, timely and in compliance with regulatory requirements. Supervise the billing team to review, process and submit claims. 5. Denial Management: Develop strategies for reducing claims denials and rejections and work to resolve issues promptly to facilitate claim resubmission. 6. Collections: Manage the collections process, including overseeing the work of collection agents and working on patient payment arrangements, where necessary. 7. Financial Analysis:
Analyze financial data and key performance indicators to identify areas for improvement and develop strategies to maximize revenue recovery. 8. Reporting: Prepare and present regular financial and revenue cycle reports to the hospital's leadership, highlighting areas that need attention and offering recommendations for improvement. 9. Compliance and Regulations: Ensure that all revenue recovery practices adhere to healthcare regulations, coding guidelines and billing compliance standards, including HIPAA and other relevant laws. 10. Customer Service: Interact with patients, insurance companies and other stakeholders to address inquiries, concerns and disputes related to billing and claims. 11. Continuous Process Improvement: Identify opportunities for streamlining and improving revenue recovery processes and work collaboratively with other hospital departments to implement enhancements. Preferred candidate profile
📌 Opening For Executive-Recovery (Pune)
🏢 Jehangir Hospital
📍 Pune
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