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Financial Counsellor
ConfidentialDelhi9 days ago
Job descriptionVerify insurance coverage, policy terms, and patient eligibility. Facilitate pre-authorizations, approvals, and coordination with TPA or insurance providers. Keep patients informed about approvals, exclusions, and any shortfalls. Collaborate with the billing team to ensure accurate patient billing. Help clarify any billing queries raised by patients. Ensure timely collection of payments before discharge or procedure. Inform eligible patients about hospital-run or external financial assistance schemes. Assist with the application process for payment plans, charity programs, or subsidies. Coordinate with internal committees or external sponsors when needed. Maintain detailed records of financial counselling sessions. Document consent from patients on estimates and cost-related discussions. Provide regular MIS and status reports to the finance or patient services team. Education : Graduate in Commerce, Business Administration, or Healthcare Management MBA (Finance / Hospital Management) preferred Experience : 1–3 years in healthcare finance, TPA coordination, or hospital billing Experience with health insurance processes is highly desirable Strong understanding of hospital billing and insurance processes Excellent communication and counselling skills Empathy and patience in dealing with patients under stress Attention to detail and strong follow-up abilities Proficient in MS Office and hospital information systems (HIS / EMR) Knowledge of local healthcare regulations and TPA practices
Key Responsibilities :
1. Patient Financial Guidance
- Meet patients and attendants during admission or treatment planning to explain estimated costs.
- Provide a detailed breakdown of packages, procedure costs, and expected out-of-pocket expenses.
- Guide patients on payment schedules and required advance deposits.
2. Insurance & TPA Coordination
3. Billing Support
4. Financial Assistance Programs
5. Documentation & Reporting
Qualifications & Experience :
Skills & Competencies :
Skills Required
Ms Office, Excellent Communication Skill, Mis Reporting
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