A result-oriented Professional offering 8 years+ of experience in Healthcare service. Gained excellence in performing Monthly analysis, MIS, Reporting, Operational processes, monthly/quarterly performance reviews of Billing Department. Skilled in handling audit related queries.
Overview
10
10
years of professional experience
Work History
Billing Executive
Shantilal Shanghvi Eye Institute
Mumbai
05.2023 - Current
Facilitation of paneling process with private insurance companies and Govt
Responsible for counseling patient's family & pre-Auth process
Maintaining scroll registers with signoff in softcopies and user reports as well as hardcopies with supporting documents
Daily billing departmental MIS; Weekly/monthly analyzed reports departmental or any other information required by finance/senior management
Administrators, Information Technology Department/Operations Department, etc
Coordination with providing essential data for a better patient experience
To manage and process discount/refund bills/modifications or any other billing instructions as approved and directed by senior team/authorities
Integration of daily collection with all modes like cash/card/online
All revenue against OPD/IPD/Pharmacy
Collecting daily collections (cash/cheque) from "Patient Counselor" and depositing in bank
To process patient return along with KYC/Declaration/Documents through proper channel within TAT defined by Finance Department.
Billing Executive
Motherhood Hospitals
Mumbai
12.2022 - 04.2023
Greet patients politely and assist them in the check-in process upon arrival
Informing patients about hospital fees, billing procedures and payment options
Doctor visit & Scan & small procedure Billing
Consultant Room Checking
Manage appointment scheduling for outpatient services
Handling TPA related all process from billing to co-ordinate with TPA companies
Collect and accurately record patient demographic information, medical history and insurance details
Facilitate check-in and check-out processes efficiently, including co-pays or collection of payments
Providing receipts and necessary documents to patients after their visit
Answering incoming calls, responding to inquiries
Keeping the reception area clean, neat and orderly
Facilitate the admission process by ensuring that all required forms and documents are completed accurately.
Billing Executive
D Y Patil Hospital
Nerul
02.2021 - 11.2022
Greet and assist patients and their families at the admission desk
Facilitating admission process for inpatients and outpatients
Ensure adherence to hospital policies and procedures during the admission process
Obtaining necessary signatures on consent forms and other necessary documents
To ensure accurate and complete registration of patient data in the hospital information system
Provide financial counseling to patients regarding their medical bills and available payment options
Collect and verify patient information including personal details, insurance information and medical history
Handling TPA related all process from billing to co-ordinate with TPA companies
Preparing split bills/Doctor charges etc
Communicate with insurance companies to confirm eligibility, benefits and pre-authorization requirements
Daily follow up with Insurance companies to pass or clear the Health Insurance claims
Helping patients understand insurance coverage, co-payments and deductibles
Collect copayments, deductibles and any other advance payments from patients
Process payments and issue invoices
Reconcile payments with billing records
Address inquiries and concerns from patients regarding billing issues and insurance matters.
Billing Executive
MGM Hospital
Vashi
04.2018 - 02.2019
Preparation of interim/Final bills for each patient based on captured services and charges
Follow up on outstanding payments, denied claims or any billing issues that may arise after bill submission
Communicating with patients about the final bill, explaining any outstanding balances and payment requirements
Collect copayments, deductibles and any other advance payments from patients
Accurate record keeping of final bills, payments and insurance reimbursements.
OPD Coordinator & IPD Coordinator
Kolekar Hospital
Chembur
02.2014 - 03.2018
OPD Coordinator: Coordinate and manage patient appointments for outpatient services
To ensure efficient scheduling to optimize patient flow
To collect and verify patient information during registration
Supervise front desk staff
Interrogating the patient and providing necessary information
Maintaining accurate and up-to-date records of outpatient visits
IPD Coordinator: Facilitating the admission and discharge process for inpatients
Ensuring proper documentation and adherence to hospital policies
Coordinate bed allocation based on patient needs and availability
Monitor bed turnover and optimize bed utilization
Monitor and maintain quality standards in inpatient care.
Education
Graduate in Economics -
N.G.Acharya Collage
Mumbai University
01.2016
Higher secondary School -
Sathaye College
Mumbai University
01.2013
Secondary School Certificate -
Kolhapur Board
Kolhapur
01.2010
MBA - Healthcare Management -
Symbiosis College
Pune
Skills
Scroll registers Maintenance
Daily billing departmental MIS
Weekly/monthly analyzed reports
Daily collections
TPA Processes
Communicating with insurance companies
Payment Follow-Up
Bill Preparation
Personal Information
Date of Birth : 05/03/1994
Marital Status : Married
Address : Room No 106, Bldg No-04, Green Valley,Vichumbe,Panvel-410206
IT Specialist (Network) at National Eye Institute, National Institute Of HealthIT Specialist (Network) at National Eye Institute, National Institute Of Health