Job Description

Manages the Billing department and is responsible for the overall direction, coordination and evaluation.  Managerial responsibilities are carried out in accordance with the organization’s policies and procedure. Responsibilities include        training employees, planning, assigning and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems.

Responsibilities

•    Daily Reporting for last day Revenue, Insurance Approval status, coding Status, billing closer/pending status

•    Redefining the TATs time to time for better coordination, ensuring all cash deposited daily

•    In time accuracy of info, capturing Revenue via on Job Audits of all crucial service areas and for IPD night Audit.

•    Daily issues of various gaps need to address with relevant HODs

•    Follow most effective CPT guidelines for complete coverage without rejection and timely   payments

•    All Matrix, checklist, trackers implement to have measurable process control, Lean sigma    tech for effective assessment

•    Pharmacy Collection and Issues of CPT/Credit and If any non-availability of normal drug is to be arranged from outside.

•    Taking care of pricing, package costing, New Services etc areas. Internal Audit as well as external audit

•    Oversees flow and completion of daily billing functions and assigned duties to individual staff   to ensure efficiency.

•    Manages receipt and retrieval of such information related to medical coding and billing
•    and insurance legislation, and informs billing staff, managers, and/or physicians.

•    Interviews applicants for billing positions and oversees training of new employees

•    Accomplishes staff results by communicating job expectations, planning, monitoring,
         and appraising job results; coaching, counseling, and disciplining employees,
         developing, coordinating, and enforcing systems, policies, procedures, and
         productivity standards.

•    Maintains quality service by enforcing quality and customer service standards, analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements.

•    Establishes strategic goals by gathering pertinent business, financial, service, and operations information; identifying and evaluating trends and options; choosing a course of action; defining objectives; evaluating outcomes.

•    Participate in the Hospital training programs.

•    Complaints are handled in a structured, timely and professional manner which is fair, courteous.

•    Keeping strict compliance in confidentiality agreement and agree not to inappropriately access, disclose, copy, remove, use or give to any person or organization information of     any nature related to the Hospital.

•    Other duty assigned by the Head of Department but limited to the capacity of the employee and his/her designation and as of business needs.
 

Qualifications

Bachelor’s degree in commerce