Billing Executive

Overview

Responsibilities

• Generate and process inpatient and outpatient bills accurately and in a timely manner.
• Verify insurance coverage, approvals, co-payments, and policy validity prior to billing.
• Ensure daily charge posting for all admitted (IP) patients in coordination with clinical documentation.
• Collect deposits from cash-paying inpatients on a daily basis and update the billing system accordingly.
• Address and resolve billing-related inquiries from patients and internal departments.
• Apply appropriate rate plans, discounts, and DOA approvals as per hospital policy.
• Coordinate with insurance, front office, and clinical teams to ensure seamless billing and revenue processes.
• Support the admission process by verifying insurance eligibility, capturing accurate patient and policy details, and coordinating with front office and Nursing team.
• Perform daily charge entry for inpatient services based on medical records and department inputs.
• Collect advance deposits from self-paying inpatients and update records in the billing system.
• Conduct pre-admission checks for insurance eligibility, policy coverage, co-payment details, and documentation accuracy.
• Liaise with the front office and admission desk to ensure proper billing classification and correct insurance tagging at the time of admission.
• Upload required insurance documents (approvals, EIDs, insurance cards) to the EMR for audit and claim submission.
• Monitor patient class, package applicability, and treatment changes during hospitalization and coordinate with concerned departments for billing updates.
• Communicate clearly with patients regarding financial responsibilities, estimated costs, and deposit requirements.
• Collaborate with clinical teams to capture all billable services, investigations, and procedures timely.
• Escalate discrepancies or delays in billing information to the billing supervisor or RCM manager.
• Maintain organized and up-to-date billing records in compliance with hospital policies and audit requirements.