Sr. Billing Executive

• Prepare and verify TPA, Insurance, Corporate, CGHS/ECHS, and Cashless patient bills.
• Verify beneficiary eligibility, referrals, approvals, and package applicability for CGHS/ECHS patients.
• Coordinate with TPAs, Insurance Companies, and Government Authorities for pre-authorizations, enhancements, approvals, and claim processing.
• Ensure complete claim documentation and timely submission for reimbursement.
• Verify all patient charges before discharge to prevent revenue leakage.
• Follow up on pending approvals, claims, payments, deficiencies, and claim rejections.
• Resolve billing discrepancies and coordinate with MRD, Nursing, Pharmacy, Laboratory, Finance, and other departments.
• Maintain billing records, MIS reports, claim status reports, and outstanding receivables.
• Guide patients and attendants regarding billing, insurance, and government scheme-related queries.
• Ensure compliance with NABH standards, hospital policies, CGHS/ECHS guidelines, and insurance regulations.
• Support internal/external audits and assist in training junior billing staff.

Pay: ₹15,000.00 - ₹25,000.00 per month

Benefits:

• Flexible schedule
• Paid sick time
• Paid time off
• Provident Fund

Work Location: In person