SAYAN DAS

Billing Accuracy & Management:

Ensuring accurate and timely generation of Final Bills for Inpatient (IP) departments by verifying room rents, investigations, pharmacy, and surgical charges.

Reviewing interim bills daily to ensure all services rendered are appropriately captured in the Hospital Information System (HIS).

Isurance & TPA Coordination:

● Pre-authorization & Approval: Coordinating with Third Party Administrators (TPAs) and

corporate panels to secure timely pre-authorizations and final enhancements for cashless

treatments.

● Claim Documentation: Verifying that all clinical documents, discharge summaries, and

investigation reports align with insurance requirements to minimize claim rejections or

deductions.

Discharge Process & Efficiency:

● Turnaround Time (TAT) Management: Streamlining the discharge billing process to

reduce patient waiting time, ensuring a smooth and efficient exit experience.

• Handle the end-to-end billing process for inpatient services, including verifying patient information, codes, and charges accurately.
• Address inquiries from patients, insurance companies, or internal departments regarding billing issues, discrepancies, or payment arrangements.
• Prepare and submit insurance claims accurately and in a timely manner, following up on outstanding claims to facilitate prompt payments.
• Worked with multiple departments to check proper billing information.
• Researched and resolved billing discrepancies to enable accurate billing.
• Coordinate with TPAs and insurance companies to resolve any disputes or issues related to claims.
• CASH BILLING, CGHS, ECHS, ESIC, CAPF, TPA, PMJAY(AYUSHMAN), PSU