Syed Farhan Kazmi

IN PATIENT BILLING- SAP

• Collects and compiles inpatient records, medical and non-medical, in order to prepare and process physician's charges for inpatient services.
• Reads the inpatient medical records, determines appropriate services to be billed, applies appropriate fee schedules, secures physicians' approval of charges, follows through on any required changes, and completely prepares and posts into the SAP ERP system.
• Organizes work for accuracy and effectiveness in order to ensure compliance of proper billing and coding procedures of third party carriers and to ensure complete, accurate, and most appropriate reimbursements.
• Responsible for ensuring each physician is current with inpatient billing in SAP by auditing reports generated.
• Reports any concerns/problems regarding inpatient billings and makes recommendations for solutions to the Office Manager, physicians, and/or Central Administration Office.
• Monitors reimbursement of procedures on a continuous basis and identifies changes in reimbursement patterns.
• Works with medical staff to resolve coding issues and associated problems and update into SAP.
• Educates new physicians and staff members to the office on the pricing and coding system of inpatient charges.
• Communicates with patients, staff, physicians, and third party carriers to explain inpatient charges answer questions, and resolve aby problems.
• Assembles information and prepares SAP reports regarding inpatient billing as requested.

ADMISSION COORDINATE:

• Play liaison role between the patients / attendants & the hospital with regards to inpatient billing.
• Keep informing the attendants about the bill status of their respective patients on day to day basis.
• Control billing to ensure the entries of all the diagnosis done for the respective patients.
• Ensure that all the entries have been entered in the final inpatient bill before discharges of the respective patient. The same must be cross examined with the Billing staff.
• Proactively ensure that the discharge Summaries are made in time & drugs are returned to the pharmacy in case of discharge of the patients.
• Liaise with Consultants for non-medical issues.
• Be a bridge between the clinical & administration in all matters and maintain transparency in all dealing and execution.
• Be a bridge between the clinical & administration in all matters and maintain transparency in all dealing and execution.

INSURANCE:

• Primarily supervise entire processing of insurance claims.
• Preparation of rejection, rectification and updating the ERP system & communicate the same to insurance companies.
• Filing of approvals and other correspondences,
• Maintain proper record of approvals and rectification statement.
• Rectification of rejected claims by providing the requirement needed by the insurance companies.
• Constantly keep updating with latest medical terminology and information.
• Attending training conducted by various Insurance Companies.

OUTPATIENT BILLING:

• Settlement of bills in Al-Noor ERP system.
• Verification of correctness of bills as per approved discount policy of insurance companies.
• Submission of bills to insurance companies.
• Rectification of bills as and when receives from insurance companies.
• Preparation of unsettled bills report and forward to Audit Department.

INPATIENT BILLING:

• Receive cash from Admission department
• Preparation of Inpatient bills as per cost sheet agreed and approved by marketing department.
• Settlement of Inpatient bills in ERP system.
• Submission of Bills to Customers.
• Rectification of Bills as and when required as per marketing agreement with client.

Responsibilities:

• Supervise all the corporate accounts of different companies.
• Manage team to make sure all the account smoothly handled.

• Gathered financial information, prepared documents and closed books.
• Conducted technical and analytical reviews of tax returns to check for accuracy and qualified deductions.
• Documented cash, credit, fixed assets, accrued expenses and line of credit transactions.