Junior Associate - Admission & Billing

Date: 15 Jul 2024

Location: Mysuru, IN

Company: Manipal Health Enterprises Private Ltd

About Us

Manipal Hospitals: Empowering Health, Enriching Lives

Welcome to Manipal Hospitals, where our commitment to exceptional healthcare goes beyond conventional boundaries. At Manipal Hospitals, our commitment to patient-centricity, ethical practices, and clinical excellence is at the core of everything we do. As a leading healthcare provider, we are dedicated to providing world-class medical care and spearheading technological advancements in the field of healthcare. 

As a pioneer in healthcare, Manipal Hospitals is among the top healthcare providers in India serving over 5 million patients annually. Today we stand as an integrated network with a pan-India footprint of 33 hospitals across 17 cities with 9,500 beds, and a talented pool of over 5,000 doctors and an employee strength of over 20,000.

Manipal Hospitals is NABH, AAHRPP accredited and most of the hospitals in its network are NABL, ER, Blood Bank accredited and recognized for Nursing Excellence. 

Join Us

We believe that our success is driven by our people, and we are always looking for talented individuals to be a part of our journey. We value diversity and inclusivity, and we are committed to creating a supportive and collaborative work environment where everyone can grow.  Together, we strive to shape the future of healthcare while fostering professional growth and development.

Discover the difference that passion, innovation, and commitment can make in healthcare. Join Manipal Hospitals – where excellence is a tradition and your contributions will ensure Life’s On for the world at large.

Job Details

No. of Openings: 1

Experience: Years of relevant experience

Job Summary

Assist with overseeing patient billing services on timely basis. Answering billing related questions from patients, doctors, and insurance companies. Proactively determine solutions for handling unique billing situations and assist the Business Manager with end-to-end Admission & Billing Services.

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  • Facilitate on accurate estimates for treatment and procedures, available insurance partners, pre-auth and post-auth assistance, invoices and end-to-end In-patient Admission and Billing Services.
  • Ensure that patients waiting time is reduced at the Billing counter.
  • Work independently with customers / clients wisely.
  • Maintain courtesy and ensure clients remain comfortable and cooperate in providing the necessary information that client may need and on billing documents and receipts.
  • Maintain full concentration in the course of duty to update digits of transactions accurately, because inaccurate billing information could jeopardize the integrity of the hospital.
  • Processing patients bills, including calculating charges and assigning specific codes.
  • Assist for end to end internal and external clarification on Patient Billing and resolve issues pertaining to payment and billing if any.
  • Make use of available and correct codes to interpret patient health claims and submit records to insurance companies as per requirement.
  • Ensure that patients claims are processed based on the services rendered at Hospital and submitted to the authorities in due time if any and keep the patient updated timely on the status of their cashless facility and ensure timely reply to all queries from the TPA in co-ordination with Consultants.
  • Ensure collection of non-medical expenses or any such expenses which are not covered by the corporate or TPA before patient leaves premises.
  • Ensure all original documents along with the bills are retained by us for claiming the same from respective TPA / Corporate.
  • Follow-up with patients regarding outstanding balances or discrepancies in billing statements if any and coordinate with health care providers regarding insurance claims, contact insurance providers regarding outstanding balances, denied claims, and resolving payment issues.
  • Independently review billing records and ensure all transactions have been entered correctly and assist to identify any errors. Also, ensure correct invoice is updated and generated on services provided to patients, and confirm them with Doctors, Nurses, Diagnostic Services and others if necessary.
  • Act as the point of contact for colleagues of Hospital and collaboratively work for end-to-end smooth services.
  • Maintains confidentiality on all patient information.

Job Responsibilities

Assist with overseeing patient billing services on timely basis. Answering billing related questions from patients, doctors, and insurance companies. Proactively determine solutions for handling unique billing situations and assist the Business Manager with end-to-end Admission & Billing Services.

.

  • Facilitate on accurate estimates for treatment and procedures, available insurance partners, pre-auth and post-auth assistance, invoices and end-to-end In-patient Admission and Billing Services.
  • Ensure that patients waiting time is reduced at the Billing counter.
  • Work independently with customers / clients wisely.
  • Maintain courtesy and ensure clients remain comfortable and cooperate in providing the necessary information that client may need and on billing documents and receipts.
  • Maintain full concentration in the course of duty to update digits of transactions accurately, because inaccurate billing information could jeopardize the integrity of the hospital.
  • Processing patients bills, including calculating charges and assigning specific codes.
  • Assist for end to end internal and external clarification on Patient Billing and resolve issues pertaining to payment and billing if any.
  • Make use of available and correct codes to interpret patient health claims and submit records to insurance companies as per requirement.
  • Ensure that patients claims are processed based on the services rendered at Hospital and submitted to the authorities in due time if any and keep the patient updated timely on the status of their cashless facility and ensure timely reply to all queries from the TPA in co-ordination with Consultants.
  • Ensure collection of non-medical expenses or any such expenses which are not covered by the corporate or TPA before patient leaves premises.
  • Ensure all original documents along with the bills are retained by us for claiming the same from respective TPA / Corporate.
  • Follow-up with patients regarding outstanding balances or discrepancies in billing statements if any and coordinate with health care providers regarding insurance claims, contact insurance providers regarding outstanding balances, denied claims, and resolving payment issues.
  • Independently review billing records and ensure all transactions have been entered correctly and assist to identify any errors. Also, ensure correct invoice is updated and generated on services provided to patients, and confirm them with Doctors, Nurses, Diagnostic Services and others if necessary.
  • Act as the point of contact for colleagues of Hospital and collaboratively work for end-to-end smooth services.
  • Maintains confidentiality on all patient information.

Competencies

Lead Self : Emotional Intelligence
Lead Self : Ethics and Personal Credibility
Lead Stakeholders : Patient Centricity

Skills

Education

Intermediate in Commerce or Commerce
Bachelors in Commerce (B.Com) or Commerce (B.Com)