Job Description

1. Handles IPD Billing/ECHS,CGHS,TPA, AB Panel Billing.  

2. Billing the patients. Against consultation, various tests & procedures carried out the hospital.  

3. Checks the bills with the activity card before generating bills.  

4.  Prepares interim bills for further collection from patients.  

5.  Develops and implements mechanisms and controls to ensure appropriate billing and payment cycle  of IPD.  

6. Directly responsible for IP day to day operations.  

7. Prepare risk assessment, Audit/daily observation compliance and documents according to NABH and NABL protocols.  

8. Manages credit and collections principles, processes, regulations, and standards.

9. Coordinate with Diagnostics, in Patients, Admissions and corporate departments and ensure smooth flow.  

10. Communicates immediately to Chief financial officer regarding compliance related problems and unresolved process.  

11. Ensures accurate & timely billing, oversee and streamline billing and collections processes and Audit.  

12. Supervising month end closing of the billing and planning & implementing quality assurance for all processes.  

13.Perform all daily billing functions in integrated systems
14. Answering billing related questions from patients, doctors, and insurance companies.
15. Proactively determine solutions for handling unique billing situations.

16. Pricing of the services and package development..
17. Team coordination management.
18. Collaborate with other departments to ensure billing accuracy
19. Proactively drive the billing process for the local team and prepare analyses as required
20. Ensure invoices are timely, accurate, and complete in accordance with the customer’s guidelines and expectations
21. Oversee accuracy of job cost for assigned business units
22.  Act as first resource for Operations
23. Perform appropriate follow up on any issues or mistakes and resolving when necessary
24. Manage the billing analysts (and other offices as assigned) including but not limited to providing mentoring, training, and ongoing feedback, conducting annual performance evaluations, managing and balancing billing
25. workloads, and overseeing schedules and overtime of direct reports
26. Use problem-solving skills to develop solutions and procedures to improve work flow process