Senior Associate - Admission & Billing
- Manipal Hospitals
- 3 - 6 years
- Mysuru
- 6 months ago
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Job Description
Job Description: Manipal Hospitals is seeking a dedicated and detail-oriented Senior Associate for our Admission & Billing department. In this role, you will be responsible for managing patient admissions, ensuring accurate billing processes, and providing exceptional customer service to patients and their families. You will work closely with healthcare providers, insurance companies, and administrative staff to facilitate seamless patient experiences and resolve any billing inquiries or issues. Key Responsibilities:
- Oversee the admission process for patients, ensuring all necessary documentation is completed and verified.
- Manage billing processes, including insurance verification, patient invoicing, and payment collection.
- Collaborate with clinical staff to accurately capture all necessary charges and services rendered.
- Address patient and family inquiries regarding billing and insurance coverage, providing clear and timely information.
- Maintain accurate records and documentation in compliance with hospital policies and regulatory requirements.
- Identify and resolve discrepancies in billing and patient accounts, working with internal departments as necessary.
- Assist in the development and implementation of policies and procedures related to admissions and billing to enhance operational efficiency. Skills and Tools Required:
- Strong understanding of healthcare admissions and billing processes, including insurance terminology and practices.
- Excellent customer service and communication skills, with the ability to interact effectively with patients, families, and healthcare professionals.
- Detail-oriented with strong organizational and problem-solving abilities.
- Proficiency in using healthcare management software and electronic health records (EHR) systems.
- Experience with billing tools and payment processing systems is a plus.
- Ability to work collaboratively in a fast-paced environment and manage multiple tasks simultaneously.
- Knowledge of relevant healthcare regulations and compliance standards. Qualifications:
- Bachelors degree in healthcare administration, finance, or a related field preferred.
- Previous experience in admissions and billing within a healthcare setting is highly desirable.
- Familiarity with medical coding and billing procedures is a plus. If you are passionate about providing excellent service in the healthcare industry and have the skills to manage admissions and billing effectively, we would love to hear from you. Join Manipal Hospitals and contribute to our commitment to delivering high-quality patient care.
Roles and Responsibilities
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Patient Registration: Collect and verify patient details including ID proof, insurance, and referral documents.
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Bed Allocation: Coordinate with nursing and ward staff to assign beds based on availability and patient needs.
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Pre-Authorization: Ensure necessary approvals from insurance providers or third-party administrators (TPAs) before admission.
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Documentation: Maintain accurate records of admission forms, consent letters, and other legal documents.
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Coordination: Liaise with doctors, nurses, and departments to streamline the admission process.
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Bill Generation: Prepare interim and final bills based on services rendered, including diagnostics, procedures, and medications.
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Insurance Handling: Verify coverage, submit claims, and follow up on reimbursements with TPAs or insurance companies.
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Payment Collection: Accept payments via cash, card, or digital modes; issue receipts and maintain transaction logs.
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Discharge Billing: Coordinate with departments to finalize bills and ensure timely discharge clearance.
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Refunds & Adjustments: Process refunds for overpayments and handle billing corrections as needed.
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Customer Service: Address patient queries related to billing, insurance, and admission procedures.
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Reporting: Generate daily, weekly, and monthly reports on admissions, billing, and collections.
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Compliance: Ensure adherence to hospital policies, financial protocols, and regulatory standards.
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Audit Support: Assist internal and external auditors with documentation and billing records.
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Medical & Nursing Teams: Confirm completion of all treatments, procedures, and investigations.
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Pharmacy & Diagnostics: Ensure all medications and tests are accounted for in the final bill.
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Housekeeping & Support Services: Include any ancillary services provided during the stay.
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Service Consolidation: Compile charges for room rent, consultations, surgeries, diagnostics, pharmacy, consumables, and other services.
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Package Verification: Check if the patient was under a fixed package (e.g., maternity, surgery) and ensure billing aligns with package terms.
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Discounts & Waivers: Apply any approved discounts or concessions as per hospital policy.
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Claim Finalization: Submit final bill and discharge summary to the insurance provider or TPA.
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Deductibles & Co-payments: Inform patients of any non-covered items or out-of-pocket expenses.
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Approval Follow-up: Ensure timely approval from insurance for discharge clearance.
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Balance Settlement: Collect remaining dues from the patient or family before discharge.
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Receipt Issuance: Provide detailed receipts and payment confirmation.
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Refund Processing: If applicable, initiate refund for excess payments or deposits.
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Discharge Summary: Ensure the patient receives a signed discharge summary from the treating doctor.
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Billing Clearance: Provide a No Dues certificate to facilitate discharge.
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System Update: Mark the patient as discharged in the hospital management system and archive billing records.
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Billing Explanation: Clearly explain the final bill to the patient or family, including any insurance deductions.
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Query Resolution: Address concerns or disputes regarding charges or services.
Job Classification
Industry: Medical Services / HospitalFunctional Area / Department: Customer Success, Service & OperationsRole Category: Customer Success, Service & Operations - OtherRole: Customer Success, Service & Operations - OtherEmployement Type: Full timeContact Details:
Company: Manipal HospitalsLocation(s): Mysuru
Keyskills: software tpa insurance verification healthcare management customer service health admissions housekeeping tools billing healthcare setting medical coding system compliance billing center procedures payment processing invoicing processing hospital communication skills
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