Job Description
Fortis Healthcare Ltd is looking for Assistant OPD Billing / Front Office to join our dynamic team and embark on a rewarding career journey
This role involves accurate and efficient processing of patient billing information, insurance claims, and coordinating with various departments to ensure smooth financial transactions and patient satisfaction
Key Responsibilities:Patient Billing: Generate accurate bills for both IPD and OPD services based on medical procedures, consultations, tests, and medications provided to patients
Insurance Claims: Prepare and submit insurance claims, ensuring proper documentation and compliance with insurance company requirements for timely reimbursement
Verification and Documentation: Verify patient information, insurance coverage, and ensure all necessary documentation is complete and accurate before billing
Coordinating with Medical Departments: Collaborate with medical staff, nurses, doctors, and other healthcare professionals to gather information about services provided to patients for billing purposes
Patient Queries: Address patient queries related to bills, insurance coverage, and payment options in a courteous and helpful manner
Payment Collection: Collect payments from patients for services rendered, ensuring transparency and adherence to financial policies
Cash Management: Handle cash transactions, maintain records of cash received, and reconcile cash collections at the end of each day
Database Maintenance: Maintain electronic and paper records of patient billing, ensuring data accuracy and confidentiality
Billing Discrepancies: Investigate and resolve any discrepancies or errors in billing and insurance claims
Coordination with Insurance Companies: Liaise with insurance companies to ensure smooth processing of claims and resolve any issues that may arise
Financial Reporting: Prepare regular reports summarizing billing and payment activities, including outstanding bills, pending claims, and payment trends
Compliance: Adhere to legal and regulatory requirements related to billing and insurance procedures
Qualifications and Requirements:Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field
Previous experience in a similar role, preferably in a healthcare setting
Strong knowledge of medical billing procedures, insurance terminology, and claim submission processes
Familiarity with relevant medical codes such as CPT, ICD-10, and HCPCS
Proficiency in using billing software, electronic health record (EHR) systems, and Microsoft Office applications
Excellent organizational skills and attention to detail
Effective communication and interpersonal skills to interact with patients, medical staff, and insurance representatives
Ability to handle confidential information with discretion and professionalism
Problem-solving skills to address billing discrepancies and resolve patient concerns
Basic understanding of medical terminology and healthcare practices
Customer service orientation and a patient-centric approach
Ability to work in a fast-paced environment and handle multiple tasks simultaneously
This role involves accurate and efficient processing of patient billing information, insurance claims, and coordinating with various departments to ensure smooth financial transactions and patient satisfaction
Key Responsibilities:Patient Billing: Generate accurate bills for both IPD and OPD services based on medical procedures, consultations, tests, and medications provided to patients
Insurance Claims: Prepare and submit insurance claims, ensuring proper documentation and compliance with insurance company requirements for timely reimbursement
Verification and Documentation: Verify patient information, insurance coverage, and ensure all necessary documentation is complete and accurate before billing
Coordinating with Medical Departments: Collaborate with medical staff, nurses, doctors, and other healthcare professionals to gather information about services provided to patients for billing purposes
Patient Queries: Address patient queries related to bills, insurance coverage, and payment options in a courteous and helpful manner
Payment Collection: Collect payments from patients for services rendered, ensuring transparency and adherence to financial policies
Cash Management: Handle cash transactions, maintain records of cash received, and reconcile cash collections at the end of each day
Database Maintenance: Maintain electronic and paper records of patient billing, ensuring data accuracy and confidentiality
Billing Discrepancies: Investigate and resolve any discrepancies or errors in billing and insurance claims
Coordination with Insurance Companies: Liaise with insurance companies to ensure smooth processing of claims and resolve any issues that may arise
Financial Reporting: Prepare regular reports summarizing billing and payment activities, including outstanding bills, pending claims, and payment trends
Compliance: Adhere to legal and regulatory requirements related to billing and insurance procedures
Qualifications and Requirements:Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field
Previous experience in a similar role, preferably in a healthcare setting
Strong knowledge of medical billing procedures, insurance terminology, and claim submission processes
Familiarity with relevant medical codes such as CPT, ICD-10, and HCPCS
Proficiency in using billing software, electronic health record (EHR) systems, and Microsoft Office applications
Excellent organizational skills and attention to detail
Effective communication and interpersonal skills to interact with patients, medical staff, and insurance representatives
Ability to handle confidential information with discretion and professionalism
Problem-solving skills to address billing discrepancies and resolve patient concerns
Basic understanding of medical terminology and healthcare practices
Customer service orientation and a patient-centric approach
Ability to work in a fast-paced environment and handle multiple tasks simultaneously
💡 Quick Summary
Seeking a career-building opportunity? The Assistant OPD Billing | Front Office position is now open for candidates interested in the Nurse / Compounder Jobs sector. This role in Mumbai offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Nurse / Compounder Jobs is a plus.