Billing Manager

Medicover Fertility; Kakinada; On-site; INR 240,000 - 320,000; Full time

Job summary

Medicover Fertility in India is seeking a Billing Operations facilitator to ensure accurate inpatient billing and smooth payments in line with hospital policies. The role involves coordinating with teams, monitoring day-to-day activities, and handling escalated billing issues.

The candidate will guide staff on complex problems, enforce billing standards, and ensure services are billed before final charges, with close liaison to consultants and finance teams.

Responsibilities

• Accuracy in Inpatient Billing.
• Effectively monitoring of day-to-day activities
• Resolve customer complaints or answer customers' questions regarding policies and procedures.
• Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.
• Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
• Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
• Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
• Monitoring all estimations and actual billing expenses.
• Follow up of Emergency admission patient.
• Day to day outstanding amount follow up.
• Monitors OP / IP billings performance shift wise.
• Bill Updating of all the procedures done to the patient on daily basis.
• Ensures charges for the hospital services based upon the tariff.
• Gives estimation to the self-paying patients and Corporate Patients.
• To ensure that all the services are charged before final bill is made.
• Takes written consent from the Patients attendants on payment terms.
• Discuss with the consultants, estimate, deposits and payments.
• Explains the line of treatment being given and the reason for taking such deposits at the time of admission to the patients and their attendants.
• Gives break-ups of the treatment bills for re-imbursement, insurance claims.
• Provides inputs to Finance and Accounts department regarding day-to-day transactions
• Implementing admission & billing policies as directed by the management
• Tracking timely submission of bills of TPA & Corporate
• Maintaining MOU tracker.
• Maintaining all tariffs in soft copy and hard copy authorized sign.
• Co-ordination with internal departments.
• Maintaining Discharge TAT.
• Maintaining Estimation TAT.
• Giving on job training to staffs.
• Ensuring proper documentation for audit.
• Helping to concern person for timely TPA and Corporate renewals.
• Timely tariff revision.
• Daily MIS reports to the management.

Job description

Job Purpose : To facilitate smooth function of the billing operations and ensure the payments and billing are done properly in line with the Hospital billing policies& maintaining proper coordination with the team.

Roles & Responsibilities

• Accuracy in Inpatient Billing.
• Effectively monitoring of day-to-day activities
• Resolve customer complaints or answer customers' questions regarding policies and procedures.
• Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems.
• Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
• Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
• Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
• Monitoring all estimations and actual billing expenses.
• Follow up of Emergency admission patient.
• Day to day outstanding amount follow up.
• Monitors OP / IP billings performance shift wise.
• Bill Updating of all the procedures done to the patient on daily basis.
• Ensures charges for the hospital services based upon the tariff.
• Gives estimation to the self-paying patients and Corporate Patients.
• To ensure that all the services are charged before final bill is made.
• Takes written consent from the Patients attendants on payment terms.
• Discuss with the consultants, estimate, deposits and payments.
• Explains the line of treatment being given and the reason for taking such deposits at the time of admission to the patients and their attendants.
• Gives break-ups of the treatment bills for re-imbursement, insurance claims.
• Provides inputs to Finance and Accounts department regarding day-to-day transactions
• Implementing admission & billing policies as directed by the management
• Tracking timely submission of bills of TPA & Corporate
• Maintaining MOU tracker.
• Maintaining all tariffs in soft copy and hard copy authorized sign.
• Co-ordination with internal departments.
• Maintaining Discharge TAT.
• Maintaining Estimation TAT.
• Giving on job training to staffs.
• Ensuring proper documentation for audit.
• Helping to concern person for timely TPA and Corporate renewals.
• Timely tariff revision.
• Daily MIS reports to the management.