- Prepare and verify TPA, Insurance, Corporate, CGHS/ECHS, and Cashless patient bills.
- Verify beneficiary eligibility, referrals, approvals, and package applicability for CGHS/ECHS patients.
- Coordinate with TPAs, Insurance Companies, and Government Authorities for pre-authorizations, enhancements, approvals, and claim processing.
- Ensure complete claim documentation and timely submission for reimbursement.
- Verify all patient charges before discharge to prevent revenue leakage.
- Follow up on pending approvals, claims, payments, deficiencies, and claim rejections.
- Resolve billing discrepancies and coordinate with MRD, Nursing, Pharmacy, Laboratory, Finance, and other departments.
- Maintain billing records, MIS reports, claim status reports, and outstanding receivables.
- Guide patients and attendants regarding billing, insurance, and government scheme-related queries.
- Ensure compliance with NABH standards, hospital policies, CGHS/ECHS guidelines, and insurance regulations.
- Support internal/external audits and assist in training junior billing staff.
Pay: ₹20,000.00 - ₹350,000.00 per month
Benefits:
- Flexible schedule
- Paid sick time
- Paid time off
- Provident Fund
Work Location: In person
