Key Responsibilities
- Claim Processing & Submission: Prepare, verify, and submit IPD/OPD claims for ECHS patients in strict compliance with approved package rates and government guidelines.
- Portal Management: Handle day-to-day operations on official portals (e.g., ECHS UTI/NHA) for authorizations and claims.
- Rejection Management: Investigate, resolve, and resubmit rejected or short-paid claims by coordinating with internal medical teams.
- Liaison & Follow-up: Regularly communicate with ECHS officials for pending approvals and payment realizations.
- Compliance & Audits: Ensure all documentation (discharge summaries, investigation reports, bills) satisfies NABH standards and ECHS regulations.
- Reporting: Maintain MIS trackers, ageing reports, and revenue summaries to track pendencies and minimize financial leakage.
- Team Leadership: Train and supervise billing executives while defining and revising internal tariff packages.
Pay: ₹40,000.00 - ₹50,000.00 per month
Benefits:
Work Location: In person
