Billing Lead - Hospital

Billing Lead

Key Accountability:

- He/she will be responsible for the overall management of Billing, reception and other staff reporting to this position.

- To manage the overall operations of Billing vertical (both OP and IP) and also take care of both billing and non-billing but related aspects of OPD and IPD billing operation

- To coordinate with other departments like Finance, Clinical services etc. for smooth management of patient related issues.

- To take the lead in handling patient queries arising from both IP and OP areas.

- To lead the training and grooming of his/her team.

- To actively participate and contribute towards creation/modification of SoPs, participate in Audits and accreditations.

- Registering the personal particulars of all new patients and issuing to them their registration cards carrying their unique identification numbers (UHID) for current and subsequent use

- Listening to understanding the patient's problems and deciding on which patient needs to be targeted and directed

- Providing the patients with all necessary information regarding the pricing protocol of various surgeries, treatment and consultation with doctors.

- Issuing attendant and visitor pass to the relatives and briefing them about the visiting rules as well as to advice to leave valuables at home.

- Entering all the expenses/payments/debts/credits along with details item such as bed charges, cost of medicines, diet charges, cost of investigations

- On receiving the discharge information, closing the account, preparing the bill and ensure timely payment before discharge

- Ensure proper coordination between all department involved in patient care.

- Should report daily transactions the Accounts Department

- Preparing the TPA files for settlement

- Managing the day to day administrative work

- Updating and making calls for Outstanding Payment and follow up

- Follow up with TPA for initial and final approval

- Check all the Documents for medical and insurance point of view before submitting to TPA

- Explain Patient about entire process of claim settlement.

- To help in financial reconciliation b/w billing and finance team.

- To take full accountable for cash related transactions done by his/her team.

- To incorporate the ethos and practices of ACCF as an organization.