SUBHA SANKAR SURJEET

• Bahrain • +973-******** • 39967300 • ad46ie@r.postjobfree.com •

BILLING Manager with 12 years of experience in managing the overall hospital billing Operation, Admission, Operation theatre booking and floor admin,

Plan and direct all billing, delivering high level executive and administrative support for daily business operations. Manage and coordinate revenue recovery from Medicare and commercial insurance

https://www.linkedin.com/in/subham-surjit-aa51a926/

Areas of Expertise include:

Hospital Billing

Claims Management

Financial Analysis

Data Analytics

Package Module

Implementation

Collections (PDD)

Tally ERP 9.0

People Management

EXPERIENCE & NOTABLE CONTRIBUTION

King Hamad American Mission Hospital • Manama, Bahrain • October 2021 – Present

Billing and Insurance Head

Pricing &Tariff Management to ensure revenue competition and market price analysis / benchmarking and identify opportunities for revenue

Preparing and analysis pricing proposal initiated by clinician and other department

Package standardization ( Inclusion & Exclusion )

Coordination of Medical,Para medical, Marketing department to enriching relation with various other origination, TPA, Insurance companies

Controlling all credit business like TPA / Corporates

Monitoring the work of Billing & front office department and guide them processing of billing properly

Managing team of 100 members ( Front Office and Billing & Insurance)

Responsible for all billing related services and resoling the billing issues

Taking care of Billing department ( Admission,IP Billing, OP Billing, Front Office)

Improve efficiency of hospital front and back office operations through optimization standardization & automation of processes

Auditing of discharge IPD bills from all aspect ensuring no revenue leakage and satisfactory audit rating in my tenure

Conduct regular meeting with the team members and streamline the problem areas and training program for the OPD Staff

Maintaining the TAT,s for all OPD services and maintaining the TAT data report periodic review of the same (insurance and OP services )

Ensure smooth administration to delivery good quality and timely In-Patent,ensure error free billing transaction

Enhance patient care delivery by maintaining a good relationship with the consultants and

Patients

Coordinate with them for all In-Patient services by being there one point of contact for all administrative matters and ensure proper escalation of customer

Business development activities.

Submit monthly MIS and other reports to Finance Department.

Coordinate with visiting and part-time physicians on their pricing, referrals and booking of surgeries/clinics etc.

Royal Hospital for Women and Children • Riffa, Bahrain • October 2019 – November 2021

www.rhwc.com.bh

EXPERIENCE & NOTABLE CONTRIBUTI

Royal Hospital for Women and Children • Riffa, Bahrain • October 2019 – November 2021

Assistant Manager Billing

To work in assistance with Chief Operating officer and supervise the smooth delivery of OPD & inpatient services

To develop, coordinate and supervise staff within clinical and other departments of the hospital

To assist in the implementation of hospital policies and procedures

To oversee assigned department operations and recommend changes if any in, or better utilization of, facilities, services and staff

To ensure the quality-of-service delivery by taking everyday rounds in OP/ IP department and meeting patients for their feedbacks

To supervise the completion of records as per the guidelines mentioned in policies and procedures

To assess the patient needs any provide additional assistance in understanding the treatment plan / surgery plan or clearing any doubts?

To ensure safe work environment, adequate supplies, upkeep of unit and equipment in all the IP areas

Co-ordination for VIP visitors / Directors’ visits

Oversees administration of pricing at the billing module of Hospital Information System

Oversees IP billing part of all cash, Insurance and Corporate patients of the Hospital

Submit monthly MIS and other reports to Finance Department.

Designs, updates and implements policies, procedures and protocols to ensure efficiency and accuracy in IP billing

Monitors IP discounts with appropriate approvals from the Management and timely collection of all IP invoices.

Coordinate with visiting and part-time physicians on their pricing, referrals and booking of surgeries/clinics etc.

Develop service price list/packages for the new services and other business development activities.

IT related update – service mapping, pricing update, discount mapping, training etc.

Price negotiation with insurance company.

Making new surgery packages

Assume new responsibilities as and when needed.

Preparing claim forms and sending to insurance company for IP procedure.

Handling all insurance and corporate quarries related to payment

Provide feedback for wrong billing in case of any disallowances to the billing and advice for necessary correction.

Preparing patient outstanding report on daily basis.

Key Accomplishment:

Developed an Excel tracking system for units remaining on patient, limiting the amount of non-billable services less than .01% of total revenue

Royal Bahrain Hospital • Bahrain • NOV 2012 – AUG 2019

https://www.royalbahrainhospital.com/

Billing Head & Floor Admin:

Implemented interim billing system to reduced huge final settlement at the time of discharge to make a hassle free billing environment

OT booking and patient counselling.

Processed invoices and reimbursement of claims requested by clients.

Documented and updated patient data base.

Coordinated with daily patient service operation

Maintained record for staff treatment and reported to finance.

Responded to patient inquiries regarding billing issues and statement problems Followed up customers regarding past due invoices and billings.

Updated forms and manuals and maintained accurate patients records

Analysed patient behaviour & successful handling of patient complaints

Care Hospital Private Limited • Bhubaneshwar, INDIA • NOV 2011 – OCT- 20

Junior Executive Internal Audit:

Conducted IP billing audit of all the IP departments

Conducted emergency department charge capture audit.

Assisted in professional and administrative staff and managing clinic.

Developed new polices directives and strategies.

Demonstrated the presentation to various types of audience and handled the corporate and communication affairs.

Responsible for the planning and development of new provisions and managed information, measure performance and financial data.

Achievement

Won The best Employee Award

Carespital Private Limited •

Education

Masters in Finance Control

Utkal University, Bhubaneswar - Bhubaneswar, Odisha

P.G Diploma-Hospital Management

Alagappa University, Karaikudi, India

Bachelors of Commerce

Utkal University, Bhubaneswar - Bhubaneswar, Odisha

Languages Known

• English • Oriya • Hindi • Arabic

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