Company Overview

Spandana Hospital is dedicated to providing world-class healthcare services at an affordable cost. As a heart and superspeciality hospital, we are committed to high-quality tertiary and critical care. Our team consists of highly trained and dedicated medical, administrative, and supportive staff, ensuring a patient-centered approach. Located in Bangalore, Spandana Hospital aims to deliver exceptional healthcare, reflecting our mission to serve society effectively.

Job Overview

We are seeking a Junior IP Billing Executive to join our team at Spandana Hospital in Bengaluru. As a full-time position, the role is integral to our billing department, focusing on efficient billing processes and patient records management. The ideal candidate will possess expertise in Medicare/Medicaid billing and EHR systems, supporting our mission to provide affordable and high-quality healthcare services.

Qualifications and Skills

• Proficiency in Medicare/Medicaid billing, essential for accurate processing and compliance (Mandatory skill).
• Experience with Electronic health record (EHR) systems, crucial for managing patient data efficiently (Mandatory skill).
• Strong aptitude in insurance verification, vital for patient coverage assessment and correct billing (Mandatory skill).
• Understanding of ICD-10 coding standards for accurate diagnosis coding and billing.
• Familiarity with CPT coding to ensure proper coding of procedures and services.
• Knowledge of revenue cycle management principles to optimize financial performance.
• Experience in denial management, essential for reducing claim denials and improving revenue.
• A thorough understanding of HIPAA compliance to safeguard patient information and ensure privacy.

Roles and Responsibilities

• Manage the billing process, ensuring the accurate and timely submission of claims.
• Verify patient insurance coverage and ensure pre-certification and authorization requirements are met.
• Collaborate with medical staff to ensure proper implementation of coding practices and chart documentation.
• Handle denial management processes by analyzing rejections and initiating appeals when necessary.
• Maintain comprehensive EHR system records in accordance with hospital procedures.
• Ensure billing procedures comply with Medicare/Medicaid and other insurance regulations.
• Respond to billing inquiries from patients and other stakeholders promptly and professionally.
• Participate in process improvement initiatives to enhance billing practices and efficiency.