Senior Assoociate

Job Description

The Senior Associate is responsible for accurately and efficiently processing billing transactions for outpatient services provided at Manipal Hospital. This role involves generating bills, verifying patient information, applying appropriate charges, handling payments, addressing patient billing inquiries, and ensuring compliance with billing policies and procedures. Key Responsibilities: Bill Generation and Processing: Generate accurate and timely bills for outpatient consultations, procedures, investigations, and medications based on service codes and pricing structures. Verify patient demographics, insurance details, and service information to ensure billing accuracy. Apply appropriate charges, discounts, and waivers as per hospital policies and approvals. Ensure all necessary documentation (e.g., consultation notes, investigation reports) is available for accurate billing. Process cash, card, and online payments from patients. Issue receipts and maintain a record of all transactions. Patient Inquiry Handling: Address patient inquiries related to billing charges, payment procedures, and outstanding balances in a courteous and efficient manner. Investigate and resolve billing discrepancies and errors. Provide clear and concise explanations of billing statements to patients. Escalate complex billing issues to the Billing Supervisor or relevant department. Insurance Processing (If Applicable): Verify patient insurance eligibility and coverage for outpatient services. Process cashless claims and coordinate with insurance companies for pre-authorization and settlement. Follow up on outstanding insurance claims. Understand and adhere to the terms and conditions of various insurance providers. Data Entry and Record Keeping: Accurately enter billing data into the hospitals billing system. Maintain organized records of bills, payments, and related documentation. Generate daily, weekly, and monthly billing reports as required. Compliance and Policy Adherence: Adhere to all hospital billing policies, procedures, and guidelines. Stay updated on relevant healthcare billing regulations and compliance requirements. Ensure compliance with data privacy and confidentiality standards. Coordination and Communication: Coordinate with doctors, nurses, and other outpatient department staff to ensure accurate and complete billing information. Communicate effectively with other departments (e.g., admissions, pharmacy, laboratory) to resolve billing-related issues. Cash Handling and Reconciliation: Handle cash payments accurately and securely. Reconcile daily cash collections with the billing system. Prepare cash deposit slips and ensure timely submission of collected cash.