Responsibilities:

• Identify responsible party by examining patient records.
• Issues invoice by entering service data; calculating charges; mailing invoices.
• Resolve billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.
• Maintain patient and invoice files by entering and adjusting data.
• Provide billing information by collecting, analysing and summarizing third-party billings, accounts pending and late charges data and trends.
• Send BMRs to insurance companies and follow up with them in order to get the approvals for patients as soon as possible.
• Finalize the billing statement / related aspects for discharged patient and provide the clearance to the attending nurse within due time (12:00pm) and clear the patient from the system immediately.
• Issue of patients’ refunds invoices in case of advance payments after the discharge order, inform the Unit Supervisors in about the refunds in order to give the money back to the patients upon discharge.
• Interface with the Unit Supervisor relating to explanation of bills and doubts arising out of it in order to explain them to the patient or his family.
• Coordinate with Billing Supervisor relating to business promotion, discounts, upgrade, cancellation and various forms of offers for the patients.
• Update the inpatient billing account daily and forward to the unit supervisor and refer any pending issues to Patient Services Director.

Accountabilities:

• Inform Billing Supervisor about any forms of errors/issues to billings of patients.
• Build coalition with the various departments for speedy processing of patients concerns.
• Act as back up for Billing Supervisor in his/ her absence. Conduct himself/herself as per the business ethics of the Business Office.
• Act as front liner or central point of contact for all the departments of the hospital relating to all issues related to approval section
• Take responsibility of Billing Supervisor in his/her absence/crisis situation.
• Control and manage all forms of BILLS received every day, also have measure on the discount being offered on the billing.
• Ensure that patients are removed from the computerized system directly after their discharge.
• Monitor all the approvals and expiry dates of approval/insurance cards for all the company/insurance patients.
• Monitor all the invoices and services provided.
• Monitor all the follow ups of the patients for procedures/ surgeries booked earlier.
• Participates in person-centered care initiatives undertaken by HMG.
• Enriches patient experience with compassion, respect and dignity.
• Perform other applicable tasks and duties assigned within the realm of his knowledge, skills and abilities.