Anita Sharma

● Managing cash flow and reconciliation for the Delhi NCR region.

● Responsible for the daily allocation of work for the recovery department and dispatch unit.

● Capturing the daily summary of the cash flow and summarizing it in the daily MIS report.

● Responding and communicating effectively to the queries received from patients, vendors, and online BPA through email.

● Responsible for the dispatching of bills for CGHS, ECHS, ESIC, and TPAs.

● Managing daily cash settlements for CGHS, ECHS, ESIC, and TPAs, and publishing a report for debtors' aging.

● Preparing budgets and future projections for respective departments.

● Supporting management during periodic NABH certification and external audits conducted by government bodies.

● Act as a liaison between executive management and administrative, hiring, networking, and other teams.

● Leading the administration department, overseeing all facilities operation functions, and directly reporting to senior management.

● Coordinating with cross-functional departments for various administrative activities and support.

● Procurement and maintenance of hospital equipment and other requirements.

● Cash management and budgeting, including the admin budget, handling petty cash, and various other expenses.

● Front Office Management: Oversee the smooth operations of the front desk, ensuring efficient patient check-in and check-out processes, managing appointments, and addressing patient inquiries and concerns.

● Staff Supervision: Provide guidance and supervision to front office staff, including training, scheduling, and performance evaluations, to ensure optimal team performance and adherence to hospital policies and procedures.

● Billing: Ensure accurate and timely billing for inpatient services, including diagnostic procedures and charge entry.

● Collaborate with medical and insurance specialists to resolve billing discrepancies, and ensure compliance with insurance regulations.

● Claims Processing: Monitor and process insurance claims, verifying insurance coverage, submitting claims electronically or via mail, and following up on claim status.

● Resolve claim denials or rejections, working closely with insurance companies to ensure maximum reimbursement.

● Financial Reporting: Prepare financial reports related to IP billing, including revenue analysis, accounts receivable, and reimbursement trends.

● Provide regular updates to senior management on billing performance, and identify areas for improvement.

● Compliance: Stay updated on healthcare regulations, billing guidelines, and insurance industry changes.

● Ensure compliance with HIPAA regulations, and maintain patient confidentiality in all billing activities.

● Customer Service: Foster a patient-centric approach by delivering exceptional customer service, addressing patient concerns, and resolving billing inquiries in a professional and empathetic manner.

● Process Improvement: Identify opportunities to streamline billing processes, enhance efficiency, and reduce errors.

● Implement changes, and train staff on new procedures to optimize workflow and enhance revenue cycle management.

● Handling cashflow and reconciliation of JD accounts with the funding amounting to 200 crores

● Responsible for Bill Verification and handling ECHS Queries

● Publishing ECHS dashboard and was responsible for responding to queries received from ECHS Empaneled hospital representative regarding bill submission and bill processing

● Creating MIS dashboard and publishing the monthly report with management

● Responsible for recovery from respective hospitals amounting to over 12 crores