- Prepare and process patient bills accurately, ensuring all charges for hospital services, including procedures, medications, and equipment, are included.
- Ensure proper documentation of all patient services rendered.
- Submit insurance claims to third-party payers (insurance companies, government programs, etc.).
- Follow up on claims status, and address denials or rejections, ensuring timely resubmission of claims.
- Assist in verifying insurance coverage and benefits, including pre-certifications, to ensure eligibility.
- Assist patients in understanding their bills, offering breakdowns of charges, insurance coverage, and payment options.
- Communicate with patients to resolve billing issues or discrepancies and provide clarification as needed.
- Issue refund checks as necessary and ensure payments are processed.
- Monitor patient accounts for overdue balances and assist in follow-up for collection.
- Maintain accurate records of billing transactions, payments, and adjustments in the system.
- Ensure compliance with payment policies and procedures to reduce outstanding balances.
- Ensure that all billing practices comply with hospital policies, industry standards, and regulations.
- Stay updated on insurance regulations, payer policies, and billing codes to maintain accuracy and compliance.
- Review patient files and records to ensure proper billing documentation is in place.
- Work closely with medical staff, insurance companies, and patients to resolve any issues related to billing and payments.
- Coordinate with the finance and accounts receivable teams to manage payment posting and outstanding balances.
- Provide regular updates to management on the status of outstanding bills, denials, and collections.
Job Types: Full-time, Permanent
Pay: ₹20,000.00 - ₹25,000.00 per month
Benefits:
Work Location: In person
