Billing CGHS

Nextenti Tech Private Limited

Key Responsibilities

• Manage and process billing activities related to Central Government Health Scheme (CGHS) in accordance with hospital policies and government regulations.
• Ensure accurate and timely submission of claims to CGHS and follow up on pending or denied claims for resolution.
• Reconcile accounts to ensure all transactions align with patient records and financial statements.
• Collaborate with the finance team to streamline billing processes and improve revenue cycle management.
• Handle patient inquiries related to billing and insurance claims, providing clear and effective communication.
• Maintain compliance with healthcare regulations and billing standards to minimize errors and discrepancies.
• Review and verify patient billing data, ensuring accuracy in the billing system and adherence to CGHS guidelines.
• Coordinate with insurance companies and other third-party payers to resolve claim disputes and discrepancies efficiently.
• Prepare regular reports on billing activities, account reconciliations, and revenue trends for management review.

Requirements & Tech Stack

• Account Reconciliation
• Patient Billing Systems
• Medical Billing Procedures
• Insurance Claims Processing
• Healthcare Compliance
• Revenue Cycle Management

Qualifications

• Any Graduation

Location: Gachibowli, Hyderabad, Telangana, India 500032