Aster DM Healthcare Hiring for Assistant Manager.Billing.Aster CMI Hospital Bangalore at India Full Time

Full Job Description
Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in multiple GCC states and is an emerging healthcare player in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare through our hospitals, clinics and pharmacies. We have over 20,000 plus dedicated employees across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: “We’ll treat you well.” We reach out to all economic segments in the GCC countries through our differentiated healthcare services across the “Aster”, “Medcare” and “Access” brands.

Designation – Assistant Manager

Department – Billing

No. of Openings – 1

Qualification – Degree / Masters

Location – Aster CMI Hospital

Ensure timely submission of all insurance pre-auth documents as per guidelines

Respond to all insurance process queries.

Deal and resolve patient queries related to insurance process

To ensure timely submission of interim bills & enhancements as required

Liaison with medical team for timely submission of queries

Follow up the pending insurance approvals

Ensure billing is done as per agreed tariff and reducing the disallowances

Ensure timely submission of final bills to TPA for the approvals

Segregation of non-medical expense & to ensure collection of co-pay at the time of bill closure

Timely closure of Insurance bills

Daily handover of insurance claim documents to claim submission vendor team for timely claim submission as per service level agreement

Identify and analyse risks associated with policies

To ensure the flawless insurance process thereby enhance patient satisfaction.

Timely response to the help desk, mailer/telecommunications.

To ensure timely submission of the deficit documents desired by the TPA/Insurer

Ensure quality, productivity of the team on daily basis and further improvisation

Analyse statistical data & maintain TAT
Aster DM Healthcare Limited is one of the largest private healthcare service providers operating in multiple GCC states and is an emerging healthcare player in India. With an inherent emphasis on clinical excellence, we are one of the few entities in the world with a strong presence across primary, secondary, tertiary, and quaternary healthcare through our hospitals, and clinics. We have over 20,000 plus dedicated employees across the geographies that we are present in, delivering a simple yet strong promise to our different stakeholders: “We’ll treat you well.”

In India, we have 13 hospitals spread across Kerala (5 hospitals) with our flagship Aster Medcity Hospital at Kochi, Bangalore (2 hospitals Aster CMI & Aster RV) + 1 upcoming (Mother & Child), 1 in Hyderabad (Aster Prime), 1 in Kolhapur (Aster Aadhar) and 4 in Andhra Pradesh ( under Aster Ramesh Hospital 2 in Vijayawada, 1 in Guntur and 1 in Ongole). Most of our hospitals are NABH accredited with Medcity n Aster Ramesh (Guntur) JCI accredited.

In terms of revenue, we are USD 1.14 Bn company in which India contributes 17% and rest by GCC as of FY’19. Going forward we are also venturing into Pathology business (Aster Labs) by April’2020 n Pharmacy business in Jan ’21 apart from 3 new hospitals in next 3 years in India.

We have Centre of Excellence across various specialties like Neurosciences, Cardiac Sciences, Integrated Liver Care, Orthopaedics, Onco, Gastro, Nephro, etc. in most of our hospitals. In summary, most of our hospitals are tertiary and quaternary care setups. Kerala with 4 hospitals and 1 educational institute forms a cluster, Bangalore with 2 hospitals + 1 hospital in Kolhapur forms another cluster and Andhra+Telangana another cluster.