- Accuracy in In-patient Billing.
- Effective monitoring of day-to-day activities.
- Coordinate IPD & OPD Patients for surgery estimations.
- Counseling the patient about insurance or corporate processes.
- Processing & Co-ordinating for TPA and Credit approvals.
- Estimate to be given to the patient and concerned company within 24 hours from the time of admission with company tariff codes.
- Check referral / credit letters with OT for clearance of surgeries/Procedures
- Obtain further approvals from companies for the patients with surgical packages exceeding the stay limit.
- Verify whether all concerned documents are as per TPA, and then file them properly.
- Monitor approvals from insurance companies
- Follow up of Emergency admission patient.
- Day to day Outstanding amount follow up
- Explain the packages/surgeries/medical bills effectively to patient party.
- Giving proper explanation about the bill and making customer satisfy.
- Tracking timely submission of bills of TPA & Corporate
- Maintaining MOU tracker.
- Maintaining all tariffs in soft copy and signed hard copy.
- Decision making ability
- Co-ordination with internal departments.
- Handling duty roster.
- Maintaining Discharge TAT.
- Maintaining Estimation TAT.
Documentation of Refunds, cancellations, and discounts on monthly basis.