Panel Coordinator-Shifa Hospital, Faisalabad

By Shifa International Hospital, Sheikhupura Road, Faisalabad  Qualification:

• BBA / MBA / M.Com or any other relevant degree.

Experience: 

• 00 to 03 years experience.

Duties & Responsibilities:

• Coordinate and facilitate the departmental operations by providing assistance in following systems and procedures of daily activities.
• Ensure timely & accurate preparation of medical bills for the medical services charged to Panel organization.
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts. 
• Prepare and finalize provisional bill(s) along with required supporting documents.
• Generate all supporting details & reports including original bill, pharmacy, ER balance, adjusted group wise, surgical supplies, medical consumable supplies & diagnostic reports if required. Confirm approval/ ref. letter and discharge patient.
• Check panel & sub panel and make corrections in case of any error.
• Obtain authorization for provisional bill (authorize bill in oracle). Ensure that all services rendered are charged into the patient bill according to the panel rates. 
• Correct discrepancy in bill during adjustment of provisional bill. Receive OPD Summary along with patient identifications such as Panel Ref Letters, Copy of Insurance Cards, and Employee Cards from Registration office. Generate & verify OPD Medical bills along with all necessary details, as per contract requirement, and attach with bills. Review patient’s bills for accuracy and completeness, and obtain any missing information. 
• Receive the finalized invoices of panel medical bills from IPD/OPD billing section as per the assigned panel portfolio. Deliver/ dispatch the finalized invoices to the panel clients & file the office copies of invoices to maintain office record. 
• Ensure the panel billing (invoices and supporting documents/ details etc) received from IPD/OPD billing section is adapted to panel requirement. 
• Prepare and maintain the portfolio accounts and records of the panels assigned for invoices issued, adjustments/revisions, payments received, payments in transition, O/S payments, client wise ageing of receivables and periodic portfolio reports. 
• Ensure timely receipt, verification/ approval by the concerned panel authorities and track the process of payment to ensure the recovery in the minimum possible time. Report to management on outstanding issues and inform them early of potential debtor problems.
•  Acquire panel patient identification document (Ref. Letters/Approvals, Insurance cards, Employee Cards, Verification Performa) from patient/attendant to confirm its particular and validity. 
• Acquire pre-authorization approval for panel patient through insurance companies or other panels if required so, by sending pre-authorization approval form through e-mail or fax. 
• Inform the patient/attendant regarding the hospitalization limits/entitlements covered by the panel and the differential amount above it will be paid by the patient / attendant.  
• Responsible to prepare Rate List, Memorandum of Understanding, Panel Summary & Covering Letters as per the SIH policies. 
• Respond to incoming Requests for Information (RFIs), Requests for Proposals (RFPs) in a professional and creative manner. 
• Enters information of new contracts of panel organizations after signing of MOU into the system to entertain concerned organization’s employees on credit/ cash (as required).
• Negotiate and get approved the revised terms and conditions of the MOU from the corporate clients.
• Develops and updates the credit and business analysis of all the panel organizations on regular basis.
• Finalize new business deals by coordinating requirements; developing and negotiating contracts; integrating contract requirements with business operations.