sasikumar radhakrishnan, Medical Billing Manager

sasikumar radhakrishnan

Medical Billing Manager

Burjeel Hospital

Location
United Arab Emirates - Abu Dhabi
Education
Bachelor's degree, Education
Experience
14 years, 8 Months

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Work Experience

Total years of experience :14 years, 8 Months

Medical Billing Manager at Burjeel Hospital
  • August 2011 to September 2013
Insurance & Billing Manager at Job Role
  • January 2011 to August 2011

1) Burjeel Hospital

Insurance & Billing Supervisor at Job Role
  • September 2009 to January 2011

1) Burjeel Hospital

Billing Coordinator (Finance at Job Role
  • December 2005 to September 2009

1) Burjeel Hospital

Senior Executive Front office at Job Role
  • March 2001 to February 2005

Job Role: Senior Executive Front office
Period: From Mar 2001 to Feb 2005
Roles & Responsibilities

➢ The prime responsibility is to Call up to the appropriate consultants and their associates.
➢ Co-ordination with front office, admission, Back office and other departments.
➢ The raise of online investigation.
➢ Online input of various data in local area networking.
➢ Promptly to initiate timely treatment of various ailments and traumas.
➢ Documenting and updating of patient details.
➢ Attending phone calls including emergency hotline service which involves meticulous handling and response.
➢ Billing processing of outpatients and inpatients.
➢ Interacting between the patient and administration.
➢ Floor monitoring.
➢ Daily patients visit
➢ Job allocation
➢ Interacting between the patients and administration
➢ Outpatient billing

6) Cold point pvt Ltd
(Manufacturing santaryware/wholesaler for air conditioners /builders & Tata indicom franchises)

Executive secretary to Managing Director at Chepet
  • India
  • May 1998 to February 2001

Chepet Chennai

Job Role: Executive secretary to Managing Director

Period: From May 1998 to Feb 2001
JOB PROFILE
➢ To produce accurate and timely reports paying close attention to detail particularly in relation to proof reading and typing amendments.
➢ Responsibility to take minutes and plan agendas.
➢ Work on own initiative with limited direct supervision
➢ Work with computers and other technology and learn and apply relevant new systems and applications
➢ Undertake a range of secretarial duties, including confidential letters, minutes and reports
➢ Committee reports, ensuring that work is produced accurately and to deadlines
➢ Be available on occasions to work outside, to carry out work of an urgent nature
➢ To participate in the performance management process. This including attending any developmental or training identified in the process
➢ Take administrative action as required by the managing director, correspond on behalf of the MD with other department, local authorities, government bodies, outside agencies, gather information and carry out follow up action as appropriate
➢ To take minutes and plan agendas
➢ Proof read, cross check and edit documents to produce avery high level of accuracy and quality

Medical Billing Manager at Burjeel Hospital
  • to
Insurance & Billing Supervisor at Job Role
  • to

Job Role: Medical Billing Manager
Period: Since August 2011
Roles & Responsibilities
• Handling the team of billing and front office
• Maintaining the list of community doctors and in-house doctors associated with Burjeel hospital.
• Applying approvals for community doctors& in-house doctors for inpatient authorization of patients having planned admissions under insurance.
• Arrange and book surgical cases with the operation theatre for planned and approved (if under insurance) medical admissions.
• Generate revenue report doctor wise as well as department wise
• Preparing estimates for proposed inpatient/outpatient procedure for corporate clients & insurance companies (in complicated case)
• Submitting daily revenue report to the higher management as department wise.
• Providing follow ups and updates for self-paying inpatient cases.
• Ensuring sufficient cash float is available at the inpatient & outpatient billing counters in liaison with the Finance officer.
• Preparing document for the inclusion of the hospital under the insurance network
• Dispatch of claims and re-submission of returned claims within specified time frame with a team of administrators.
• Reconciliation & ageing analysis comparison of insurance companies and follow ups of due receivables.
• Reconciliation of daily cash/credit realization; eventually significant to Revenue Reporting, Budgeting and Tariff/price revisions.
• Problem solving oriented to patient queries and issues in relation to insurance & payments.
• Responsibilities in all forms of administration and clinical activities which include clinic purchase control, inventory control, front office & clinical requirement.
• Manages caregivers who are responsible for pre-registration, admission, scheduling, eligibility and pre-authorization and financial counseling.
• Performs annual employee reviews and provides timely feedback to caregivers.
• Identifies training requirements and develops training material to ensure caregivers maintain competence with in their scope of work.
• Maintains ongoing dialogue and collaborative relationships with other caregivers in other departments to continually improve the performance and process.
• Implements processes to ensure accurate registration and holds unit accountable for the integrity of intake.
• Maintains expertise of systems and processes that impact admission, verification, and other patient access related functions.
• Monitors internal and external satisfaction indicators to ensure service excellence.
• Collaborates with bed control in problem-solving on patient admissions, discharges and transfers to facilitate effective and efficient utilization of resources.
• Ensures all key performance indicators are met.
• Develops staffing schedule that ensures backfill and coverage is optimal to meet patient access and operations needs during all hours of operations.
• May be required to provide backfill coverage for other Managers of Patient Access.
• Coaches and mentors staff builds and foster a team environment that embraces collaboration, problem-solving and innovation.

2) American Academy of cosmetic surgery hospital
( In DHCC)

A JCI-accredited institution that opened in 2007 as Dubai Healthcare City's (DHCC) first hospital, the American Academy of Cosmetic Surgery Hospital treats more than 5, 100 outpatients and nearly 150 inpatients annually. The hospital comprises five units: an anti-aging clinic, surgical clinic, med spa, smile enhancement clinic, and admission unit. In addition, the hospital hosts a fully equipped modern educational unit where various continuing medical education courses are offered to allied healthcare professionals.


Job Role: Insurance & Billing Manager
Managing Insurance & Billing portfolio

Period: Since Jan 2011to August 2011
Roles & Responsibilities
➢ Inclusion of more than 18 insurance companies under the AACSH network.
➢ Prepared hospital tariff for the insurance companies.
➢ Arranged the CBD doctors to perform the surgery in AACSH hospital by revenue sharing.
➢ Arranged tie up with other clinic to have surgery in AACSH hospital by revenue sharing (percentage wise)
➢ Played the major role in generating the revenue.
➢ Implemented new protocol's to avoid the leakage in revenue.
➢ Prepare cost estimates and coordinate in-patient and high cost out-patient preauthorization process.
➢ Handling of daily operations include: 1. Authentication of policy content in the bills raised in the hospital and verifying the documentation (medical and non medical) requirement in accordance with the various standard set by different insurance companies

2. Managing assignments of reconciliation by providing
Technical direction and assorting the accounts of various
Insurance companies accordingly. Relook into major
(Expensive) bills and direct recovery activities.

➢ Pre-authorization disputes between doctors and insurances companies.
➢ Expert advice provided to internal and external clients on various insurance companies addressed and managed.
➢ Guiding the billing Supervisor in the overall claim processing activities to Reduce possible disallowances by the end of every month.
➢ Effective diary Management by keeping a close tab on average no. of days taken to dispatch claims, thus ensuring timely and accurate claim activity.
➢ Generating Management reports for the outstanding and rejected claims
➢ Maintenance and preparation of the Insurance Master for process and client updates.
➢ Responsible for generating the appropriate credit notes.
➢ Responsible for adding tariff and getting approval from the management as well as from insurances companies.
➢ Responsible for creating & updating new health check packages with help of doctors in various department and getting approval from insurance
➢ Responsible for monitoring the discounts in coordination with the Manager.
➢ Responsible for correction of billing errors while checking reward components.
➢ Daily screening of daycare approvals for the admissions and discharges..
➢ Dealing with corporate clients for approvals.
➢ Attending on phone calls and queries from patients related to the approval and coverage's according to policy of the members
➢ Screening and checking of corporate bills (Emirates/McDermott Corporation) with the supporting documents for its accuracy.
➢ Maintaining the records of corporate approvals, contracts, agreements, IOM, discounts etc.,
➢ Preparing IOM for refund cheque.
➢ Checking the operation theater intimation for the type of surgery and assist the cashier for charging the same.
➢ Handling problematic patients with related insurances approval issues.
➢ Dealing with abroad insurance clients for payment though wire transfer
.
➢ Dealing with CBS Doctors for their fees collecting from the patients if any additional is their (always) more than what insurances approved
➢ Supporting Accounts receivables for recovery of payment from the insurances companies on time
➢ Handling VIP patients and celebrates as directed by the HOD / Management.
➢ Supporting the disallowance team for resubmission and recovery.
➢ Managing all Insurance Operations - Agreement finalization, Approvals, Dispatch, Disallowance, Reconciliation on time.
➢ Responsible for Hospital price list.
➢ Coordinating with Insurance companies for smooth flow of functions.
➢ Maintaining doctor's licenses
➢ Approvals related issues escalated to the manager


3) Emaar Healthcare, U.A.E
THE DUBAI MALL MEDICAL CENTRE
An upcoming health care organization of Emaar Groups

Billing Coordinator (Finance at Job Role
  • to

Job Role: Medical Billing Manager
Period: Since August 2011
Roles & Responsibilities
• Handling the team of billing and front office
• Maintaining the list of community doctors and in-house doctors associated with Burjeel hospital.
• Applying approvals for community doctors& in-house doctors for inpatient authorization of patients having planned admissions under insurance.
• Arrange and book surgical cases with the operation theatre for planned and approved (if under insurance) medical admissions.
• Generate revenue report doctor wise as well as department wise
• Preparing estimates for proposed inpatient/outpatient procedure for corporate clients & insurance companies (in complicated case)
• Submitting daily revenue report to the higher management as department wise.
• Providing follow ups and updates for self-paying inpatient cases.
• Ensuring sufficient cash float is available at the inpatient & outpatient billing counters in liaison with the Finance officer.
• Preparing document for the inclusion of the hospital under the insurance network
• Dispatch of claims and re-submission of returned claims within specified time frame with a team of administrators.
• Reconciliation & ageing analysis comparison of insurance companies and follow ups of due receivables.
• Reconciliation of daily cash/credit realization; eventually significant to Revenue Reporting, Budgeting and Tariff/price revisions.
• Problem solving oriented to patient queries and issues in relation to insurance & payments.
• Responsibilities in all forms of administration and clinical activities which include clinic purchase control, inventory control, front office & clinical requirement.
• Manages caregivers who are responsible for pre-registration, admission, scheduling, eligibility and pre-authorization and financial counseling.
• Performs annual employee reviews and provides timely feedback to caregivers.
• Identifies training requirements and develops training material to ensure caregivers maintain competence with in their scope of work.
• Maintains ongoing dialogue and collaborative relationships with other caregivers in other departments to continually improve the performance and process.
• Implements processes to ensure accurate registration and holds unit accountable for the integrity of intake.
• Maintains expertise of systems and processes that impact admission, verification, and other patient access related functions.
• Monitors internal and external satisfaction indicators to ensure service excellence.
• Collaborates with bed control in problem-solving on patient admissions, discharges and transfers to facilitate effective and efficient utilization of resources.
• Ensures all key performance indicators are met.
• Develops staffing schedule that ensures backfill and coverage is optimal to meet patient access and operations needs during all hours of operations.
• May be required to provide backfill coverage for other Managers of Patient Access.
• Coaches and mentors staff builds and foster a team environment that embraces collaboration, problem-solving and innovation.

2) American Academy of cosmetic surgery hospital
( In DHCC)

A JCI-accredited institution that opened in 2007 as Dubai Healthcare City's (DHCC) first hospital, the American Academy of Cosmetic Surgery Hospital treats more than 5, 100 outpatients and nearly 150 inpatients annually. The hospital comprises five units: an anti-aging clinic, surgical clinic, med spa, smile enhancement clinic, and admission unit. In addition, the hospital hosts a fully equipped modern educational unit where various continuing medical education courses are offered to allied healthcare professionals.


Job Role: Insurance & Billing Manager
Managing Insurance & Billing portfolio

Period: Since Jan 2011to August 2011
Roles & Responsibilities
➢ Inclusion of more than 18 insurance companies under the AACSH network.
➢ Prepared hospital tariff for the insurance companies.
➢ Arranged the CBD doctors to perform the surgery in AACSH hospital by revenue sharing.
➢ Arranged tie up with other clinic to have surgery in AACSH hospital by revenue sharing (percentage wise)
➢ Played the major role in generating the revenue.
➢ Implemented new protocol's to avoid the leakage in revenue.
➢ Prepare cost estimates and coordinate in-patient and high cost out-patient preauthorization process.
➢ Handling of daily operations include: 1. Authentication of policy content in the bills raised in the hospital and verifying the documentation (medical and non medical) requirement in accordance with the various standard set by different insurance companies

2. Managing assignments of reconciliation by providing
Technical direction and assorting the accounts of various
Insurance companies accordingly. Relook into major
(Expensive) bills and direct recovery activities.

➢ Pre-authorization disputes between doctors and insurances companies.
➢ Expert advice provided to internal and external clients on various insurance companies addressed and managed.
➢ Guiding the billing Supervisor in the overall claim processing activities to Reduce possible disallowances by the end of every month.
➢ Effective diary Management by keeping a close tab on average no. of days taken to dispatch claims, thus ensuring timely and accurate claim activity.
➢ Generating Management reports for the outstanding and rejected claims
➢ Maintenance and preparation of the Insurance Master for process and client updates.
➢ Responsible for generating the appropriate credit notes.
➢ Responsible for adding tariff and getting approval from the management as well as from insurances companies.
➢ Responsible for creating & updating new health check packages with help of doctors in various department and getting approval from insurance
➢ Responsible for monitoring the discounts in coordination with the Manager.
➢ Responsible for correction of billing errors while checking reward components.
➢ Daily screening of daycare approvals for the admissions and discharges..
➢ Dealing with corporate clients for approvals.
➢ Attending on phone calls and queries from patients related to the approval and coverage's according to policy of the members
➢ Screening and checking of corporate bills (Emirates/McDermott Corporation) with the supporting documents for its accuracy.
➢ Maintaining the records of corporate approvals, contracts, agreements, IOM, discounts etc.,
➢ Preparing IOM for refund cheque.
➢ Checking the operation theater intimation for the type of surgery and assist the cashier for charging the same.
➢ Handling problematic patients with related insurances approval issues.
➢ Dealing with abroad insurance clients for payment though wire transfer
.
➢ Dealing with CBS Doctors for their fees collecting from the patients if any additional is their (always) more than what insurances approved
➢ Supporting Accounts receivables for recovery of payment from the insurances companies on time
➢ Handling VIP patients and celebrates as directed by the HOD / Management.
➢ Supporting the disallowance team for resubmission and recovery.
➢ Managing all Insurance Operations - Agreement finalization, Approvals, Dispatch, Disallowance, Reconciliation on time.
➢ Responsible for Hospital price list.
➢ Coordinating with Insurance companies for smooth flow of functions.
➢ Maintaining doctor's licenses
➢ Approvals related issues escalated to the manager


3) Emaar Healthcare, U.A.E
THE DUBAI MALL MEDICAL CENTRE
An upcoming health care organization of Emaar Groups

Job Role: Insurance & Billing Supervisor
Managing Insurance & Billing portfolio (in the absence of
Senior Finance Manager)

Period: Since September 2009 to jan 2011

Roles & Responsibilities
➢ Responsible for generating the appropriate credit notes.
➢ Responsible for cost estimations to doctors and patients.
➢ Responsible for managing all cash transaction for the CBD doctors
➢ Responsible for adding tariff and getting approval from the management as well as from insurances companies.
➢ Responsible for creating & updating new health check packages with help of doctors in various department
➢ Responsible for monitoring the discounts in coordination with the Manager and Hospital Manager.
➢ Responsible for correction of billing errors while checking reward components.
➢ Daily screening approval for daycare admissions and discharges.
➢ Screening and Checking of approvals on a daily basis for its accuracy /to raise the bill
➢ Dealing with corporate clients for approvals.
➢ Attending on phone calls and queries from patients related to the approval and coverage of the policy
➢ Screening and checking of corporate bills (Emirates/McDermott Corporation) with the supporting documents for its accuracy.
➢ Maintaining the records of corporate approvals, contracts, agreements, IOM, discounts etc.,
➢ Preparing IOM for refund cheque.
➢ Checking the operation (day care) intimation for the type of surgery and assist the cashier for charging the same.
➢ Handling problematic patients with billing related issues.
➢ Dealing with abroad insurance clients for payment though wire transfer
➢ Dealing with CBS Doctors for their fees collecting from the patients if any additional is their (always)


4) Welcare Hospital Dubai, U.A.E.
(EHL Group, U.A.E)
(In partnership with Medi-Clinic Corporation, Varkey Group and GE An organization of a well-known Varkey Group, which is also running a number of schools & medical clinics in the Gulf and Medi-Clinic, is one of the largest health care providers in South Africa. Welcare Hospital is the First Hospital to be awarded.
"The Dubai Quality Appreciation Program" & certified with ISO2000

Senior Executive Front office at Job Role
  • India
  • to

Job Role: Medical Billing Manager
Period: Since August 2011
Roles & Responsibilities
• Handling the team of billing and front office
• Maintaining the list of community doctors and in-house doctors associated with Burjeel hospital.
• Applying approvals for community doctors& in-house doctors for inpatient authorization of patients having planned admissions under insurance.
• Arrange and book surgical cases with the operation theatre for planned and approved (if under insurance) medical admissions.
• Generate revenue report doctor wise as well as department wise
• Preparing estimates for proposed inpatient/outpatient procedure for corporate clients & insurance companies (in complicated case)
• Submitting daily revenue report to the higher management as department wise.
• Providing follow ups and updates for self-paying inpatient cases.
• Ensuring sufficient cash float is available at the inpatient & outpatient billing counters in liaison with the Finance officer.
• Preparing document for the inclusion of the hospital under the insurance network
• Dispatch of claims and re-submission of returned claims within specified time frame with a team of administrators.
• Reconciliation & ageing analysis comparison of insurance companies and follow ups of due receivables.
• Reconciliation of daily cash/credit realization; eventually significant to Revenue Reporting, Budgeting and Tariff/price revisions.
• Problem solving oriented to patient queries and issues in relation to insurance & payments.
• Responsibilities in all forms of administration and clinical activities which include clinic purchase control, inventory control, front office & clinical requirement.
• Manages caregivers who are responsible for pre-registration, admission, scheduling, eligibility and pre-authorization and financial counseling.
• Performs annual employee reviews and provides timely feedback to caregivers.
• Identifies training requirements and develops training material to ensure caregivers maintain competence with in their scope of work.
• Maintains ongoing dialogue and collaborative relationships with other caregivers in other departments to continually improve the performance and process.
• Implements processes to ensure accurate registration and holds unit accountable for the integrity of intake.
• Maintains expertise of systems and processes that impact admission, verification, and other patient access related functions.
• Monitors internal and external satisfaction indicators to ensure service excellence.
• Collaborates with bed control in problem-solving on patient admissions, discharges and transfers to facilitate effective and efficient utilization of resources.
• Ensures all key performance indicators are met.
• Develops staffing schedule that ensures backfill and coverage is optimal to meet patient access and operations needs during all hours of operations.
• May be required to provide backfill coverage for other Managers of Patient Access.
• Coaches and mentors staff builds and foster a team environment that embraces collaboration, problem-solving and innovation.

2) American Academy of cosmetic surgery hospital
( In DHCC)

A JCI-accredited institution that opened in 2007 as Dubai Healthcare City's (DHCC) first hospital, the American Academy of Cosmetic Surgery Hospital treats more than 5, 100 outpatients and nearly 150 inpatients annually. The hospital comprises five units: an anti-aging clinic, surgical clinic, med spa, smile enhancement clinic, and admission unit. In addition, the hospital hosts a fully equipped modern educational unit where various continuing medical education courses are offered to allied healthcare professionals.


Job Role: Insurance & Billing Manager
Managing Insurance & Billing portfolio

Period: Since Jan 2011to August 2011
Roles & Responsibilities
➢ Inclusion of more than 18 insurance companies under the AACSH network.
➢ Prepared hospital tariff for the insurance companies.
➢ Arranged the CBD doctors to perform the surgery in AACSH hospital by revenue sharing.
➢ Arranged tie up with other clinic to have surgery in AACSH hospital by revenue sharing (percentage wise)
➢ Played the major role in generating the revenue.
➢ Implemented new protocol's to avoid the leakage in revenue.
➢ Prepare cost estimates and coordinate in-patient and high cost out-patient preauthorization process.
➢ Handling of daily operations include: 1. Authentication of policy content in the bills raised in the hospital and verifying the documentation (medical and non medical) requirement in accordance with the various standard set by different insurance companies

2. Managing assignments of reconciliation by providing
Technical direction and assorting the accounts of various
Insurance companies accordingly. Relook into major
(Expensive) bills and direct recovery activities.

➢ Pre-authorization disputes between doctors and insurances companies.
➢ Expert advice provided to internal and external clients on various insurance companies addressed and managed.
➢ Guiding the billing Supervisor in the overall claim processing activities to Reduce possible disallowances by the end of every month.
➢ Effective diary Management by keeping a close tab on average no. of days taken to dispatch claims, thus ensuring timely and accurate claim activity.
➢ Generating Management reports for the outstanding and rejected claims
➢ Maintenance and preparation of the Insurance Master for process and client updates.
➢ Responsible for generating the appropriate credit notes.
➢ Responsible for adding tariff and getting approval from the management as well as from insurances companies.
➢ Responsible for creating & updating new health check packages with help of doctors in various department and getting approval from insurance
➢ Responsible for monitoring the discounts in coordination with the Manager.
➢ Responsible for correction of billing errors while checking reward components.
➢ Daily screening of daycare approvals for the admissions and discharges..
➢ Dealing with corporate clients for approvals.
➢ Attending on phone calls and queries from patients related to the approval and coverage's according to policy of the members
➢ Screening and checking of corporate bills (Emirates/McDermott Corporation) with the supporting documents for its accuracy.
➢ Maintaining the records of corporate approvals, contracts, agreements, IOM, discounts etc.,
➢ Preparing IOM for refund cheque.
➢ Checking the operation theater intimation for the type of surgery and assist the cashier for charging the same.
➢ Handling problematic patients with related insurances approval issues.
➢ Dealing with abroad insurance clients for payment though wire transfer
.
➢ Dealing with CBS Doctors for their fees collecting from the patients if any additional is their (always) more than what insurances approved
➢ Supporting Accounts receivables for recovery of payment from the insurances companies on time
➢ Handling VIP patients and celebrates as directed by the HOD / Management.
➢ Supporting the disallowance team for resubmission and recovery.
➢ Managing all Insurance Operations - Agreement finalization, Approvals, Dispatch, Disallowance, Reconciliation on time.
➢ Responsible for Hospital price list.
➢ Coordinating with Insurance companies for smooth flow of functions.
➢ Maintaining doctor's licenses
➢ Approvals related issues escalated to the manager


3) Emaar Healthcare, U.A.E
THE DUBAI MALL MEDICAL CENTRE
An upcoming health care organization of Emaar Groups

Job Role: Insurance & Billing Supervisor
Managing Insurance & Billing portfolio (in the absence of
Senior Finance Manager)

Period: Since September 2009 to jan 2011

Roles & Responsibilities
➢ Responsible for generating the appropriate credit notes.
➢ Responsible for cost estimations to doctors and patients.
➢ Responsible for managing all cash transaction for the CBD doctors
➢ Responsible for adding tariff and getting approval from the management as well as from insurances companies.
➢ Responsible for creating & updating new health check packages with help of doctors in various department
➢ Responsible for monitoring the discounts in coordination with the Manager and Hospital Manager.
➢ Responsible for correction of billing errors while checking reward components.
➢ Daily screening approval for daycare admissions and discharges.
➢ Screening and Checking of approvals on a daily basis for its accuracy /to raise the bill
➢ Dealing with corporate clients for approvals.
➢ Attending on phone calls and queries from patients related to the approval and coverage of the policy
➢ Screening and checking of corporate bills (Emirates/McDermott Corporation) with the supporting documents for its accuracy.
➢ Maintaining the records of corporate approvals, contracts, agreements, IOM, discounts etc.,
➢ Preparing IOM for refund cheque.
➢ Checking the operation (day care) intimation for the type of surgery and assist the cashier for charging the same.
➢ Handling problematic patients with billing related issues.
➢ Dealing with abroad insurance clients for payment though wire transfer
➢ Dealing with CBS Doctors for their fees collecting from the patients if any additional is their (always)


4) Welcare Hospital Dubai, U.A.E.
(EHL Group, U.A.E)
(In partnership with Medi-Clinic Corporation, Varkey Group and GE An organization of a well-known Varkey Group, which is also running a number of schools & medical clinics in the Gulf and Medi-Clinic, is one of the largest health care providers in South Africa. Welcare Hospital is the First Hospital to be awarded.
"The Dubai Quality Appreciation Program" & certified with ISO2000

Job Role: Billing Coordinator (Finance)
Managing Inpatient, Outpatient, Emergency and Pharmacy portfolio

Period: Since December 2005 to sep 2009
Roles & Responsibilities

➢ Responsible for generating the appropriate credit notes.
➢ Responsible for cost estimations to doctors and patients.
➢ Responsible for managing all cash counters Accident & Emergency, OPD, IP & PHRM
➢ Responsible for Follow-up on pending payments from patients who do not pay at the time of discharge / visit.
➢ Responsible for monitoring the discounts in coordination with the Manager and Hospital Manager.
➢ Responsible for correction of billing errors while checking reward components.
➢ Daily screening of admissions from Accident & Emergency and guide them to insurance if required.
➢ Screening and Checking of IP bills on a daily basis for its accuracy / approvals.
➢ Daily screening of Inpatient census list with the outstanding of self paying patients and follow-up for payments.
➢ Dealing with corporate clients for approvals.
➢ Attending on phone calls and queries from patients
➢ Screening and checking of corporate bills (Emirates/Taisei Corporation) with the supporting documents for its accuracy.
➢ Maintaining the records of corporate approvals, contracts, agreements, IOM, discounts etc.,
➢ Preparing IOM for refund cheque.
➢ Checking the operation theater intimation for the type of surgery and assist the cashier for charging the same.
➢ Handling problematic patients with billing related issues.
➢ Dealing with abroad insurance clients for payment though wire transfer
➢ Verification of cash remittance on a daily basis with the finance.
➢ Dealing with CBS Doctors for their fees and payments
➢ Supporting Accounts receivables for recovery of payment in selective cases
➢ Handling VIP patients as directed by the HOD / Management.
➢ Supporting the disallowance team for resubmission and recovery.
➢ Managing all Insurance Operations - Agreement finalization, Approvals, Dispatch, Disallowance, Reconciliation.
➢ Responsible for Hospital price list.
➢ Coordinating with Insurance companies for smooth flow of functions.


5) Apollo Hospitals Enterprises Ltd.,
(800 bedded super specialty hospitals)
Greams Road, Chennai, Tamil Nadu, India.

Education

Bachelor's degree, Education
  • at Presidency College, Chennai

Education: Bachelor of corporate secretary ship (B.A CORPORATE) Presidency College, Chennai, India

Master's degree, Finance
  • at Madras University

: Undergoing MBA in Finance (Master of Business Administration) Madras University, Chennai, India Additional course: Type writing in English. Microsoft office (Word, Excel, PowerPoint and Access)

Specialties & Skills

Billing Systems
Insurance Claims
Customer Service
Administration
Hospital Operations
BILLING
DOCUMENTING
EXECUTIVE SECRETARY
OUTPATIENT
OUTPATIENT BILLING
SECRETARIAL
SECRETARY
TRAINING

Languages

Telugu
Expert
English
Expert
Tamil
Expert