

Proactive individual with extensive experience in IPD billing and government billing. Adept at automating insurance handling and fostering teamwork, driving efficiency in claims processing and cost management across multi-specialty hospital environments.
Multi-specialty hospital with a capacity of 450 beds
1.covering all costs from room rent, surgeries, medicines, diagnostics to nursing, often automated by software to track everything from admission to final discharge for accurate claims and payments.
2.Created at discharge, detailing all services, discounts, payments, and balances.
3.Software tracks all charges (bed, doctor fees, tests, meds, procedures) for accuracy and efficiency
4.Involves pre-authorization, verification of policy details, coordinating with IPD billing for costs, and final reconciliation with the TPA.
5.Automated insurance handling, seamless integration with TPA networks, adherence to insurance guidelines, and processing approvals for cashless treatments.
Government Billing
1.The government sets fixed package rates and guideline.
2.Package Rates: Hospitals are required to bill based on the fixed package rates or ceiling rates prescribed by the relevant government authority (e.g., CGHS rates). These rates generally include all treatment costs, including room charges, nursing care, and sometimes medicines/implants (depending on the specific scheme's guidelines)
Accreditation from NABH and it is ... Number of Beds : 110; Multi Speciality
1.covering all costs from room rent, surgeries, medicines, diagnostics to nursing, often automated by software to track everything from admission to final discharge for accurate claims and payments.
2.Created at discharge, detailing all services, discounts, payments, and balances.
3.Software tracks all charges (bed, doctor fees, tests, meds, procedures) for accuracy and efficiency
4.Involves pre-authorization, verification of policy details, coordinating with IPD billing for costs, and final reconciliation with the TPA.
5.Automated insurance handling, seamless integration with TPA networks, adherence to insurance guidelines, and processing approvals for cashless treatments.
Government Billing
1.The government sets fixed package rates and guideline.
2.Package Rates: Hospitals are required to bill based on the fixed package rates or ceiling rates prescribed by the relevant government authority (e.g., CGHS rates). These rates generally include all treatment costs, including room charges, nursing care, and sometimes medicines/implants (depending on the specific scheme's guidelines)
NABH-accredited super-specialty hospital with a capacity of around 325 beds, serving as the flagship of the Kailash Healthcare Group.
1.covering all costs from room rent, surgeries, medicines, diagnostics to nursing, often automated by software to track everything from admission to final discharge for accurate claims and payments.
2.Created at discharge, detailing all services, discounts, payments, and balances.
3.Software tracks all charges (bed, doctor fees, tests, meds, procedures) for accuracy and efficiency
4.Involves pre-authorization, verification of policy details, coordinating with IPD billing for costs, and final reconciliation with the TPA.
5.Automated insurance handling, seamless integration with TPA networks, adherence to insurance guidelines, and processing approvals for cashless treatments.
Government Billing
1.The government sets fixed package rates and guideline.
2.Package Rates: Hospitals are required to bill based on the fixed package rates or ceiling rates prescribed by the relevant government authority (e.g., CGHS rates). These rates generally include all treatment costs, including room charges, nursing care, and sometimes medicines/implants (depending on the specific scheme's guidelines).