The Associate is responsible for overseeing the end-to-end patient admission and billing lifecycle. This includes managing financial counseling, ensuring accurate billing practices, coordinating with Third Party Administrators (TPAs) for insurance approvals,

1. Admission & Counseling

• Facilitate the smooth admission of patients by managing room allocation and completing necessary documentation.
• Provide detailed financial counseling to patients and their families regarding estimated treatment costs, deposit requirements, and payment modes.
• Coordinate with clinical teams to ensure patient placement aligns with medical requirements and category eligibility.

2. Billing & Financial Management

• Generate accurate interim and final bills for cash, corporate, and insured patients.
• Verify all charges (pharmacy, consumables, doctor visits, and procedure charges) are correctly captured in the Hospital Information System (HIS).
• Monitor and follow up on outstanding payments and ensure the timely collection of deposits.

3. Insurance & TPA Coordination

• Manage the pre-authorization process by coordinating with doctors and TPA desks to ensure timely approvals.
• Address and resolve queries raised by insurance companies or TPAs to minimize claim rejections or deductions.
• Ensure all necessary discharge summaries and medical reports are submitted correctly for cashless processing.

4. Patient Relations & Grievance Handling

• Act as the primary point of contact for billing-related inquiries, explaining complex charges clearly to patients and relatives.
• Resolve grievances related to billing discrepancies or delays in insurance clearance with empathy and professionalism.
• Ensure a smooth and efficient discharge process to enhance overall patient satisfaction.