HealthCare Global Enterprises Ltd Hiring- Billing Executive - Borivali

Role & responsibilities

QUALIFICATION

Basic Qualification / Education / Vocational Training

Any Graduation- preferred B.Com graduates

Advanced

Qualification / Certification / Specialist Training

Nil

EXPERIENCE

Minimum Experience

3 - 5 yrs of Experience.

Specific / Relevant Experience

Nil

COMPETENCIES

Functional Skills and Capabilities

• Accuracy in work
• Eye for detail
• MS Office, Tally, HIS knowledge
• Process knowledge (Cash & Credit - Insurance, TPS, Corporate, Govt.)
• Knowledge of hospital policies

JOB RESPONSIBILITIES

• Prepare final bill when cash/TPA/corporate/fund cards come for discharge. In case of TPA credit patients if the bill exceeds the approval final bill with discharge summary send it to the insurance dept for the final approval. If there is any collection to be done from patient, for non admissible items, it is done (E.g. co-payment, room restriction, exceeds pre-auth amount, luxury tax, non applicable charges etc).
• Every day morning all the previous day discharged cards are cross checked whether they have been paid the bill and show discharge in the HIS .In case of cash patient if they have not paid who has given permission should give a signed letter which should be attached with the card and it is filed in the billing dept.
• In case of Fund patient bills are prepared and it is recorded in a excel sheet where in it will show what is the amount paid by the patient ,how much it is utilized and what is the balance.
• In case of CM/PM fund after their utilization of the fund settling the bills and sending to their respective office. A copy of the bill is recorded in the billing department.
• In case of credit bills after discharge a set of three copies are prepared where the first copy is dispatched to the company, second copy is been filed in the billing dept and third copy is sent to accounts. It is same procedure in case of OP Credit bill also.
• Attending to patient/company queries as and when it is required. Give them the information required.
• Everyday cross checking of O.T. surgical cards.
• Maintains record of everyday discharge patients (cash & credit) in a excel sheet for reconciliation of dispatch of bills & reports.
• Any other jobs to be attended as and when there is an instruction from the H.O.Ds.
• Having a knowledge of all the things happening in the department and inform the same to H.O.D’s if needed. And is responsible for all activities in the department.