Billing/Insurance Coordinator

The IP (Inpatient) Billing & Insurance Executive is responsible for managing billing and insurance-related activities for admitted patients. This includes generating interim and final bills, coordinating with insurance providers and TPAs, handling pre-authorizations, follow-ups, and ensuring accurate documentation for timely claim settlement.

Key Responsibilities:Inpatient Billing:

• Create and update patient bills for all inpatient services (room rent, investigations, surgeries, medications, etc.).
• Coordinate with nursing, pharmacy, lab, and other departments for service postings.
• Monitor daily patient charges and ensure accuracy in billing.
• Prepare interim bills and final discharge bills with approvals.

Insurance & TPA Handling:

• Obtain pre-authorization from insurance/TPA at the time of admission.
• Submit required medical documents to TPA for approval.
• Coordinate with doctors and medical records team for timely documentation.
• Follow up with TPAs for enhancement and final approvals.
• Ensure all documentation (discharge summary, final bill, claim form, ID proofs) is correctly submitted for claims.

Discharge Process:

• Coordinate with IP nurse station for discharge instructions.
• Generate and explain final bill to patient/attendant.
• Ensure all dues are collected and insurance approval is in place before discharge.

Documentation & Compliance:

• Maintain accurate and complete billing and insurance files.
• Update billing status regularly in the Hospital Information System (HIS).
• Ensure compliance with insurance company and TPA guidelines.
• Assist in internal and external audits.

Required Qualifications and Skills:

• Education:Any Degree
• Experience: 1–2 years in IP billing and hospital insurance process.
• Skills:
• Knowledge of medical terminologies, insurance, and TPA processes.
• Proficiency in billing software/HIS.
• Good communication and coordination skills.
• Attention to detail and accuracy in billing.
• Familiarity with NABH guidelines and documentation.

Contact Details:

Vinothlakshmi .E

9025999713

Job Type: Full-time

Pay: ₹10,000.00 - ₹15,000.00 per month

Benefits:

• Provident Fund