Medical Billing Auditor @ Fortis CDOC @ Fortis Healthcare

Job Description

Roles and Responsibilities

• Ensuring three way matching/Audit (Patient file vs Bills vs Billing activity sheets) for all planned discharges and high value/ALOS/ICU patients.
• Extensive floor audits in coordination with Nursing/Medical audit to ensure accurate patients billing.
• Ensuring updation of billing specially credit billing on daily basis
• Check on Room up gradation on daily basis
• Check on room chargeability basis room occupied both payer and rent
• Check on all the bed side investigation.
• Check on the tariff used for all the patients
• Monitoring of all order items to ensure no under or over charging happens
• Correlating Medical records and patients billing to ensure billing is in sync with the medical treatment.
• Coordinating with MRD/Nursing/Medical Team/TPA to ensure credit bills are dispatched in accordance with the MOUs/Agreements with TPAs/Corp/PSU clients
• Ensuring real time monitoring of deductions .
• maintaining a proper tracker having relevant reasons of such deductions and follow-up with concerned stakeholders ( IPD billing, medical/Ops teams/collections/TPA cells/MRD for quick resolution of such deductions.
• Deductions arising due to incorrect billing, over billing etc.. to be controlled to ensure accurate billing for such cases in future to avoid repetitive similar deductions

Desired Candidate Profile

Qualification : BDS / BHMS

Experience : Minimum 2- 6 years of experience in Hospital

Experience Knowledge and Specific Skills : Knowledge of Consumables and Drugs, Knowledge about NABH standard, ISO standard, JCI, Auditing skills, Analytical skills, Proficient in MS office

Interested candidates mail your resume on mi************t@fo*************e.com.

With Regards

Minakshi Rajput

Senior Supervisor

Human Resources

Fortis CDOC Hospital, Chirag Enclave

9354797***

Job Classification

Industry: Medical Services / Hospital (Diagnostics)
Functional Area:
Role Category: Other Hospital Staff
Role: Other Hospital Staff
Employement Type: Full time

Education

Under Graduation: BDS in Any Specialization, BHMS in Any Specialization
Post Graduation: Medical-MS/MD in General Practitioner
Doctorate: Doctorate Not Required

Contact Details:

Company: Fortis
Location(s): Delhi, NCR

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