Billing Executive

IQ City Medical College Hospital; Durgapur; On-site; INR 300,000 - 500,000; Full time

Job summary

IQ City Medical College Hospital in Durgapur, West Bengal is seeking an experienced hospital billing professional to manage OPD and IPD billing, process claims, and resolve patient billing queries. You will handle pre-authorization, coordinate with TPAs/insurers, and track statuses to ensure timely settlements.

The role requires 3-5 years of relevant experience and a background in BHM/MHA. This is a on-site position based in Durgapur, WB.

Qualifications

• BHM/MHA qualified candidate with 3-5 years relevant work experience.

Responsibilities

• Prepare patient bills for OPD Doctor's Visit, Investigations.
• Process IPD Bills.
• Resolve patient billing queries.
• Process bills for TPA, Insurance, corporate, ESI, CGHS, and other credit patients.
• Verify pre-authorization and approval documents.
• Prepare and submit claims within stipulated timelines.
• Coordinate with TPA/insurance companies regarding queries and deductions.
• Track claim status and outstanding amounts.
• Maintain records of rejected, pending, and settled claims.

Skills

Billing experience

Education

BHM/MHA

Job description

Role & responsibilities :

• Prepare patient bills for OPD Doctor's Visit, Investigations,
• Process IPD Bills.
• Resolve patient billing queries.
• Process bills for TPA, Insurance, corporate, ESI, CGHS, and other credit patients.
• Verify pre-authorization and approval documents.
• Prepare and submit claims within stipulated timelines.
• Coordinate with TPA/insurance companies regarding queries and deductions.
• Track claim status and outstanding amounts.
• Maintain records of rejected, pending, and settled claims etc.

Preferred candidate profile

BHM/MHA qualified candidate with a minimum 3-5 years relevant work experience are preferred for the position.