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Executive KA 560099

Narayana Health · Healthcare & Pharma

  • Bangalore, India
  • On-site
  • Posted yesterday
  • Apply by 20 Nov

About the job

About NH:

Narayana Health, one of India's largest and World's most economical healthcare service providers is set to emerge as a global industry model for its ability to reconcile quality, affordability, scale, transparency, credibility and sustainable profitability. From 300 beds hospital in 2001, Narayana Health has grown to a 6900 beds healthcare conglomerate in 2014 with 26 hospitals present in 16 Cities within the country and also has International Presence in Cayman.

NH has been known for its cost-cutting approach and ranked 36th among World's 50 Most Innovative Companies by Fast Companies in 2012. NH has also been a proud recipient of Frost & Sullivan India Healthcare Excellence Awards 2012 in the category Healthcare Service Provider Company of the Year and FICCI Health Care Excellence Award 2012 for Addressing Industry Issues.

Job Summary:

The Health Care Billing Executive is responsible for managing and overseeing the billing process within a healthcare facility. This role involves preparing and submitting medical claims, verifying insurance information, following up on unpaid claims, and ensuring compliance with healthcare regulations and policies. The executive plays a key role in optimizing revenue cycle management and maintaining clear communication between patients, healthcare providers etc.,

Job Responsibilities:

Medical Billing: Prepare and submit accurate medical claims to insurance companies and government health programs (Schemes).
Insurance Verification: Verify patient insurance coverage and eligibility before services are rendered.
Claims Follow-up: Monitor and follow up on unpaid or denied claims, resolving discrepancies and appeals.
Patient Billing: Generate patient invoices, explain billing details, and handle patient billing inquiries and disputes.
Revenue Cycle Management: Collaborate with other departments to streamline billing processes, improve claim acceptance rates, and reduce billing errors.
Compliance: Ensure all billing activities comply with relevant healthcare regulations, coding standards, and company policies.
Record Keeping: Maintain accurate and organized billing records and documentation.
Reporting: Generate reports related to billing activities, outstanding claims, and revenue status for HOD review.
Coordination: Work closely with healthcare providers, insurance representatives, and patients to facilitate smooth billing operations

Qualifications & Work Environment:

Education: Bachelor’s degree in healthcare administration, Finance, or a related field preferred.
Experience: Fresher or 1 year in healthcare billing or medical coding.
Knowledge: Familiarity with medical billing software and insurance processes.
Skills: Strong attention to detail, analytical thinking, effective communication, and problem-solving skills.
Technical: Proficient in billing software and MS Office applications.
Typically works in a healthcare setting.
May involve sitting for extended periods and working on computers.
Collaboration with multiple departments.