Hospital Billing And Insurance Coordinator

• Supervise and manage OP & IP billing teams.
• Ensure accurate and timely generation of patient bills.
• Monitor daily billing activities, reconciliations, and cash collection.
• Validate service coding (ICD/CPT) and pricing in accordance with policies.
• Generate and present daily, weekly, and monthly collection reports to senior leadership.
• Insurance Coordination & Claims Processing
• Oversee pre-authorization, insurance eligibility verification, and approvals.
• Supervise submission of insurance claims and monitor turnaround times.
• Follow up on pending claims and coordinate with insurers for settlement.
• Address claim rejections, denials, and initiate appeals as necessary.
• Compliance & Documentation
• Ensure compliance with medical billing regulations and insurer requirements.
• Maintain accurate documentation of billing and insurance communications.
• Stay updated with changes in insurance guidelines and tariff revisions.
• Stakeholder Coordination
• Liaise with clinicians, patient service departments, and finance teams.
• Address patient concerns related to billing or insurance coverage.

Coordinate with TPA/insurance representatives for seamless operations.