Posted:23 hours ago|
Platform:
Work from Office
Full Time
Inpatient Billing Operations
1. Patient Registration and Admission: Verify patient demographics, insurance information, and admission details to ensure accurate billing.
2. Charge Capture and Coding: Review and verify inpatient charges, codes, and diagnoses to ensure compliance with regulatory requirements.
3. Billing and Claims Submission: Prepare and submit accurate and timely inpatient claims to insurance companies and government payers.
4. Payment Posting and Reconciliation: Post payments, reconcile accounts, and follow up on outstanding claims.
Revenue Cycle Optimization
1. Claims Analysis and Denial Management: Analyze claims denials, identify root causes, and implement corrective actions to reduce denial rates.
2. Revenue Cycle Metrics and Reporting: Track and report key revenue cycle metrics, such as claims submission rates, payment rates, and denial rates.
3. Process Improvement and Compliance: Identify opportunities for process improvement, implement changes, and ensure compliance with regulatory requirements.
Interdepartmental Collaboration
1. Communication with Clinical Teams: Collaborate with clinical teams to clarify billing and coding questions, ensure accurate documentation, and optimize revenue cycle performance.
2. Coordination with Patient Access and Case Management: Work closely with patient access and case management teams to ensure seamless transitions and accurate billing.
Bhrungi Hospitals
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