93+ Applicants
Posted: 1 month ago
0-1 years
Bengaluru / Bangalore, Karnataka
work from office
Posted: 1 month ago
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Applicants: 93+
Job Description
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Job Description
- Billing Operations Management
- Supervise and manage OP & IP billing teams.
- Ensure accurate and timely generation of patient bills.
- Monitor daily billing activities, reconciliations, and cash collection.
- Validate service coding (ICD/CPT) and pricing in accordance with policies.
- Generate and present daily, weekly, and monthly collection reports to senior leadership.
- Analyze aging reports, highlight trends, and propose corrective actions.
- Insurance Coordination & Claims Processing
- Oversee pre-authorization, insurance eligibility verification, and approvals.
- Supervise submission of insurance claims and monitor turnaround times.
- Follow up on pending claims and coordinate with insurers for settlement.
- Address claim rejections, denials, and initiate appeals as necessary.
- Compliance & Documentation
- Ensure compliance with medical billing regulations and insurer requirements.
- Maintain accurate documentation of billing and insurance communications.
- Stay updated with changes in insurance guidelines and tariff revisions.
- Team Management
- Lead and train billing and insurance team members.
- Conduct regular performance reviews and feedback sessions.
- Allocate work schedules and ensure staffing coverage.
- Reporting & Audit
- Generate and analyze daily/weekly/monthly billing and collection reports.
- Support internal and external audits by providing necessary documentation.
- Monitor KPIs such as billing accuracy, claim rejection rate, and AR days.
- Maintain complete documentation of communication and collection efforts.
- Regularly review and update SOPs to reflect current best practices.
- Stakeholder Coordination
- Liaise with clinicians, patient service departments, and finance teams.
- Address patient concerns related to billing or insurance coverage.
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Qualifications
B.com,BBA,Any graduation
Must have skills
- Passion for Excellence
- Results Orientation
- Communication Skills
- Customer Focus
- Building Relationships
- Leadership & Influencing
- Problem Solving and Decision Making
Skills
InsuranceIf an employer asks you to pay any kind of fee, please notify us immediately. Jobaaj does not charge any fee from the applicants and we do not allow other companies also to do so.
Important dates & deadlines?
Application Deadline
28 Jun 26, 05:28 PM IST
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