Job Description

Key Accountabilities

In-charge of claim submission of all KCH facilities.
In-charge for electronic billing & assigning various tasks to dispatch staff.
In-charge for IP/DC submission (DRG billing and FFS billing)
Responsible to identify CPT, HCPCS & tariff discrepancies and refer to RCM Asst. Manager – Claims Operations.
Preparation & generate xml files and troubleshooting in e-claim system
Daily screening or reviewing insurance-claim forms and related documents for completeness
Flagging claims with issues in the PA error tracker.
Coordination with different departments like laboratory, pharmacy, IP billing team etc. & Hospital’s branches to ensure smooth workflow.
Responsible for timely and quality dispatch for physical and electronic invoices to receive early payments and reduce rejections.
Coordination with insurance companies related to electronic billing or submission related matters.
Education and Qualification

Bachelor’s Degree – Para Medical or Accounting or in related field.
Minimum of 3 years of experience, out of which 2 years in any administrative position in a hospital is preferred
Experience working on data or other detailed work
Basic knowledge of health insurance concepts and Working knowledge of Revenue Cycle department desired
Proficient in Microsoft Office applications, especially Excel and PowerPoint
Good command of written and spoken English
Good analytical, execution, problem solving and decision-making skills
Detail oriented and organized, ability to acquire and apply new skills
Flexible and able to work under pressure
Excellent interpersonal skills and and professionalism in all interactions
Demonstrate drive to ensuring results and quality of work
Able to work in a multi-cultural environment and support teamwork and knowledge sharing in order to achieve goals and deliverables
Respect and maintain a high-level confidentiality
If you are a dedicated professional committed to quality and efficiency, we encourage you to apply.