Sr. Executive

Max Healthcare; Dadri; On-site; INR 300,000 - 550,000; Full time

Job summary

Max Healthcare is seeking an IPD Billing professional to manage patient registration and billing workflows within our hospital system. The role requires maintaining accurate records, staying updated on payer plans, and ensuring NABH-compliant processes for smooth operations.

You will handle billing verification, tariff updates in the HIS, and timely submission of reports, while resolving patient concerns and upholding data confidentiality.

Qualifications

• Experience in IPD billing processes.
• Familiarity with NABH protocols and SOPs.
• Ability to maintain confidential patient data.

Responsibilities

• Efficiently and effectively manage all IPD Billing activities, including patient registration and billing, to ensure a smooth workflow.
• Prepare, verify, and maintain records of all IPD bills in line with established protocols.
• Stay updated with all payer plans, policies, and codes for different corporate companies and TPAs.
• Review, update, and monitor payer plans and tariff codes in the HIS to ensure accuracy and compliance.
• Maintain complete records of all correspondence related to IPD billing patients for error free billing.
• Identify and resolve patient billing complaints promptly; escalate issues to concerned authorities when necessary.
• Ensure accurate and timely submission of all daily and monthly billing reports.
• Strive to achieve a high level of customer satisfaction during every patient interaction.
• Maintain department records in compliance with NABH requirements.
• Ensure effective utilization of the HIS for all billing processes.
• Demonstrate familiarity with all relevant SOPs and NABH protocols.
• Participate in training programs to continuously upgrade professional knowledge and skills.
• Perform any other tasks assigned by the HOD from time to time.

Skills

IPD Billing

Payer Policies

HIS (Hospital Information System)

Records Management

Customer Service

Tools

HIS software

Job description

Key Responsibilities

• Efficiently and effectively manage all IPD Billing activities , including patient registration and billing, to ensure a smooth workflow.
• Prepare, verify, and maintain records of all IPD bills in line with established protocols.
• Stay updated with all payer plans, policies, and codes for different corporate companies and TPAs.
• Review, update, and monitor payer plans and tariff codes in the Hospital Information System (HIS) to ensure accuracy and compliance.
• Maintain complete records of all correspondence related to IPD billing patients for error free billing.
• Identify and resolve patient billing complaints promptly; escalated issues to concerned authorities when necessary.
• Ensure accurate and timely submission of all daily and monthly billing reports.
• Strive to achieve a high level of customer satisfaction during every patient interaction.
• Maintain department records in compliance with NABH requirements.
• Ensure effective utilization of the Hospital Information System (HIS) for all billing processes.
• Demonstrate familiarity with all relevant instructional manuals, standard operating procedures (SOPs), and NABH protocols.
• Participate in training programs to continuously upgrade professional knowledge and skills.
• Perform any other tasks assigned by the HOD from time to time.

Personal Attributes

• Detail-oriented and accurate in work.
• Ability to work under pressure with strict timelines.
• Team player with a positive attitude.
• Commitment to maintaining confidentiality of patient and financial data.