The ESI / ECHS Billing Executive is responsible for preparing, verifying, and submitting bills related to ESI and ECHS patients. The role involves coordinating with doctors, nursing staff, and government/insurance representatives to ensure accurate billing, timely submission of claims, and recovery of payments as per ESI & ECHS guidelines.
Key Responsibilities:
· Prepare and verify bills of patients covered under ESI & ECHS schemes.
· Check authorization letters, referral slips, and entitlement documents before billing.
· Ensure charges are in line with ESI/ECHS package rates and guidelines.
· Upload and submit claims through ESI/ECHS portals, wherever applicable.
· Coordinate with TPA / ESI / ECHS authorities for pre-authorization and approvals.
· Maintain patient-wise and claim-wise documentation for audit and verification.
· Track, follow up, and reconcile outstanding payments from ESI & ECHS authorities.
· Prepare monthly and quarterly claim submission and settlement reports.
· Liaise with hospital departments (OPD, IPD, Pharmacy, Diagnostics, OT) for charge verification.
· Resolve billing-related queries raised by patients, auditors, or authorities.
· Ensure compliance with government rules, hospital policies, and audit requirements.
Job Type: Full-time
Work Location: In person