Walk-in || Billing Associate

Key Responsibilities:

1. Inpatient Billing

• Prepare provisional, interim, and final inpatient bills accurately.
• Verify room rent, doctor charges, procedures, investigations, pharmacy, implants, consumables, and other services.
• Ensure all applicable charges are captured correctly in the HIS/Billing System.
• Verify package rates, tariffs, discounts, approvals, and adjustments.
• Identify and resolve billing discrepancies before final bill closure.

2. Discharge Billing

• Coordinate with nursing, pharmacy, laboratory, radiology, OT, ICU, and other departments for pending charges.
• Prepare and finalize bills at the time of discharge.
• Ensure timely billing clearance to avoid unnecessary discharge delays.
• Explain bill details, deposits, outstanding amounts, and final settlements to patients/attendants.

3. Insurance & TPA Coordination

• Coordinate with insurance companies and TPAs for cashless cases.
• Follow up for pre-authorizations, enhancements, queries, and final approvals.
• Verify insurance-approved amounts against the final bill.
• Ensure complete documentation for claim submission.
• Follow up on pending claims, deductions, and settlement issues.

4. Payment & Collection

• Collect patient deposits, part-payments, and outstanding balances.
• Issue receipts and maintain accurate payment records.
• Reconcile daily billing and collection transactions.
• Follow up on outstanding patient/credit accounts as assigned.

5. Charge Capture & Revenue Control

• Monitor patient accounts for missed or delayed charge entries.
• Coordinate with departments to ensure real-time capture of services and consumables.
• Ensure billing is carried out as per approved hospital tariffs and packages.
• Support initiatives to minimize billing errors and revenue leakage.

6. Patient Service

• Handle patient and attendant queries related to bills, payments, packages, and insurance.
• Explain billing components clearly and professionally.
• Resolve routine billing concerns and escalate complex issues to the appropriate authority.
• Maintain patient confidentiality at all times.