Coordinator

Job Summary

The Billing Coordinator is responsible for managing inpatient and outpatient billing processes, ensuring accurate charge capture, timely bill generation, insurance coordination, payment collection, and compliance with hospital billing policies. The role supports seamless patient service while ensuring revenue integrity and financial accuracy.

Key Responsibilities

Billing Operations

• Prepare and process patient bills for IP, OP, Emergency, and Day Care services.
• Verify charges for consultations, procedures, investigations, pharmacy, and consumables.
• Ensure accurate and timely generation of final bills.
• Coordinate with clinical and non-clinical departments for billing-related clarifications.
• Monitor pending bills and ensure timely closure.

Insurance & TPA Coordination

• Coordinate with insurance companies and TPAs for cashless approvals and claim-related documentation.
• Verify insurance eligibility and authorization details.
• Assist in claim submission and resolution of billing discrepancies.
• Follow up on claim rejections, denials, and pending approvals.

Patient Service

• Explain billing details and payment procedures to patients and attendants.
• Address patient queries related to billing and payment transactions.
• Ensure a positive patient experience through prompt and courteous service.

Financial & Documentation Responsibilities

• Ensure accurate data entry in the Hospital Information System (HIS).
• Maintain billing records, receipts, and transaction documents.
• Reconcile daily collections with finance records.
• Generate billing reports as required by management.