INPATIENT BILLING MANAGER

Inpatient Billing Operations

1. Patient Registration and Admission: Verify patient demographics, insurance information, and admission details to ensure accurate billing.

2. Charge Capture and Coding: Review and verify inpatient charges, codes, and diagnoses to ensure compliance with regulatory requirements.

3. Billing and Claims Submission: Prepare and submit accurate and timely inpatient claims to insurance companies and government payers.

4. Payment Posting and Reconciliation: Post payments, reconcile accounts, and follow up on outstanding claims.

Revenue Cycle Optimization

1. Claims Analysis and Denial Management: Analyze claims denials, identify root causes, and implement corrective actions to reduce denial rates.

2. Revenue Cycle Metrics and Reporting: Track and report key revenue cycle metrics, such as claims submission rates, payment rates, and denial rates.

3. Process Improvement and Compliance: Identify opportunities for process improvement, implement changes, and ensure compliance with regulatory requirements.

Interdepartmental Collaboration

1. Communication with Clinical Teams: Collaborate with clinical teams to clarify billing and coding questions, ensure accurate documentation, and optimize revenue cycle performance.

2. Coordination with Patient Access and Case Management: Work closely with patient access and case management teams to ensure seamless transitions and accurate billing.