Recruitment Medical Auditor @ Fortis Escorts Hospital – Okhla

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  • Okhla

Fortis Health Care

Job Description

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.

Salary: Not Disclosed by Recruiter
Industry: Medical / Healthcare / Hospitals
Employment Type: Permanent Job, Full Time
Keyskills:

ICU, Nursing, Medical Records, Hospital

Desired Candidate Profile

Education: UG -Any Graduate – Any Specialization, BAMS – Any Specialization, BHMS – Any Specialization, Homeopathy, B.U.M.S – Any Specialization, BDS – Dentistry, Other Graduate
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