Akash Singh
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Role Summary :-You will manage IPD billing intimations, patient stay extensions, and official communications via portals and emails for government and PSU panels (including CGHS, ECHS, ESIC, Ayushman Bharat, and CAPF). You will also oversee the end-to-end claim dispatch process and maintain data trackers to monitor payments from submission until the final amount is credited to the bank. Key Responsibilities Operations & Panel ManagementIntimations: Submit patient admission details on panel portals immediately upon IPD entry.Extensions: Monitor daily length of stay and process extension requests before validity expires.Communications: Resolve queries from panel medical auditors via portal and email.Dispatch Handling: Organise, verify, and dispatch physical and digital claim files with zero errors. Data Tracking & Reporting Payment Lifecycle: Maintain master data trackers to trace claims from submission to bank credit.Data Analysis: Analyse billing data to identify payment delays, short payments, and deductions.Reporting: Prepare regular reports on dispatch status, pending claims, and realized revenue.
Key ResponsibilitiesIntimations: Submit admission details on panel portals immediately.Extensions: Track patient stay limits and submit extension requests timely.Panel Desks: Manage portals for CGHS, ECHS, ESIC, and Ayushman Bharat.PSU Emails: Handle mail approvals for GAIL, BHEL, SAIL, IOCL, CAPF, FCI, and NTPC.Coordination: Update internal billing and nursing teams on approval status.
I will manage IPD billing intimations, patient stay extensions, and official communications via emails and portals. You will coordinate directly with 72+ government and PSU panels (including CGHS, ECHS, ESIC, Ayushman Bharat, GAIL, BHEL, SAIL, IOCL, CAPF, FCI, NTPC, Coal India, SBI, EIL, NHI, Railways, and ONGC) to secure timely credit approvals. Key ResponsibilitiesIntimations: Upload admission details on panel portals immediately upon patient entry.Extensions: Track daily lengths of stay and submit extension requests before validity expires.Panel Operations: Manage digital portals and clear queries raised by panel medical auditors.Email Communication: Coordinate credit notes and approvals with PSU desk officials.Internal Sync: Update doctors, wards, and the main bill desk on approved limits.
Role Summary I will manage end-to-end IPD billing preparation, cash-TPA clearances, and PSU/government panel claims (e.g., CGHS, ECHS, ESIC, Ayushman Bharat, GAIL, BHEL, SAIL, IOCL, CAPF, FCI, NTPC and OT financial clearances, audit census reports against the Bed Turnaround Time (BTD) desk, and execute precise desk and floor discharges to prevent revenue leakage. Key ResponsibilitiesIPD Billing & Discharge SettlementsBilling Preparation: Compile, itemize, and audit complex IPD bills against approved clinical tariffs.Desk & Floor Discharges: Finalize financial settlements at both the ward floor and central discharge desks.OT Financial Clearance: Coordinate with the BTD desk to clear surgical billing before patient transfer.Census Auditing: Cross-verify live ward occupancy reports with real-time billing entries daily.TPA & Panel OperationsCash-TPA Management: Process cashless authorization, co-payment settlements, and query resolutions.Government & PSU Claims: Apply specific rate lists for CGHS, ECHS, ESIC, and corporate PSUs.Portal Operations: Manage digital approvals on NHA (Ayushman Bharat) and individual PSU portals.
1. Front Office Executive (6 Months) Managed IP planned admissions and ER (emergency) admissions with accuracy and efficiency. Handled OPD billing and ensured timely processing of patient transactions. Provided financial counselling to patients prior to admission based on treatment plans. Coordinated bed allocation on floors and scheduled Operation Theatre (OT) bookings. 2. Floor Coordinator / Patient Care Coordinator (3 Months) Oversaw bed management for admitted and newly arriving patients. Coordinated consultant referrals to ensure timely patient assessment. Managed OT scheduling and planned multiple procedures efficiently. Coordinated discharge processes with the billing team, laboratory, and consultants to ensure smooth and hassle-free patient discharge. 3. IP Billing Executive Prepared cash and TPA bills in accordance with approved tariffs and Schedule of Charges (SOC). Generated PSU and credit bills as per authorized tariffs, including CGHS, ECHS, CAPF, NTPC, GAIL, BHEL, IOCL, Railways, and other corporate/PSU tie-ups.