Billing Executive NMC healthcare LLC

The Billing Executive is responsible for ensuring accurate and timely billing for outpatient and inpatient services in accordance with hospital policies and insurance guidelines. The role includes verifying insurance eligibility, co-payment requirements, policy validity, and related documentation to prevent claim rejections. The executive also serves as a key point of contact for patients, delivering high-quality customer service by resolving billing queries, explaining financial responsibilities, and maintaining transparency throughout the billing process.

Responsibilities

• Generate and process inpatient and outpatient bills accurately and in a timely manner.

• Verify insurance coverage, approvals, co-payments, and policy validity prior to billing.

• Ensure daily charge posting for all admitted (IP) patients in coordination with clinical documentation.

• Collect deposits from cash-paying inpatients on a daily basis and update the billing system accordingly.

• Address and resolve billing-related inquiries from patients and internal departments.

• Apply appropriate rate plans, discounts, and DOA approvals as per hospital policy.

• Coordinate with insurance, front office, and clinical teams to ensure seamless billing and revenue processes.

• Support the admission process by verifying insurance eligibility, capturing accurate patient and policy details, and coordinating with front office and Nursing team.

• Perform daily charge entry for inpatient services based on medical records and department inputs.

• Collect advance deposits from self-paying inpatients and update records in the billing system.

• Conduct pre-admission checks for insurance eligibility, policy coverage, co-payment details, and documentation accuracy.

• Liaise with the front office and admission desk to ensure proper billing classification and correct insurance tagging at the time of admission.

• Upload required insurance documents (approvals, EIDs, insurance cards) to the EMR for audit and claim submission.

• Monitor patient class, package applicability, and treatment changes during hospitalization and coordinate with concerned departments for billing updates.

• Communicate clearly with patients regarding financial responsibilities, estimated costs, and deposit requirements.

• Collaborate with clinical teams to capture all billable services, investigations, and procedures timely.

• Escalate discrepancies or delays in billing information to the billing supervisor or RCM manager.

• Maintain organized and up-to-date billing records in compliance with hospital policies and audit requirements.