OUTSOURCE CREDIT CELL MANAGEMENT

With the advent of insurance for medical expenses contribution of insurance based billing in the hospital is to the tune of 30 – 50% of the total revenue of a hospital but managing the insurance cell within a hospital requires close monitoring and understanding of the requirements of the insurance companies for claims settlement. We at vibrant with experience in helping hospitals in getting faster claim settlement also help hospital in by way of out sourcing the insurance cell to us so that we maintain the following activities associated with the claim settlement. Designing tariff structure for the hospital services related to insurance co-ordination of empanelment with insurance companies and TPA's. Arranging for inspection of Hospital for empanelment, Query handling & look at facility upgrade with management participation. Prepare admission process for insurance patients, pre-authorization and prior approvals. Bill generation and checking for correctness. Scrutinize bill for correctness, collecting reports for Dispatch, follow-up for payments, solving queries regarding disallowance & delays, aging analysis of credit bills.