Main Account

The Accounts Department is responsible for managing all financial activities in the hospital. Their key roles include: .

Billing and Revenue Collection

Prepares patient bills for services (consultation, tests, surgery, etc.).
Collects payments from patients, insurance companies, or government schemes.

Salary and Payroll Management

Calculates and pays staff salaries, benefits, allowances, and deductions.
Maintains payroll records and tax compliance.

Budgeting and Financial Planning

Prepares annual budgets for different departments.
Helps management plan future expenses and investments.

Expense Monitoring and Control

Tracks hospital expenses (supplies, equipment, maintenance, etc.).
Ensures departments stay within their budgets.

Procurement and Payments

Coordinates payments for hospital purchases and contracts.
Keeps records of all vendors and suppliers.

Financial Reporting and Auditing

Prepares monthly/annual financial reports.
Supports internal and external audits for transparency and accountability.

Tax Compliance

Handles tax returns, deductions, and ensures hospital complies with government financial regulations.

Claims Department

The Claims Department in a hospital plays a very important role in financial management and health insurance processes.

Processing Insurance Claims

Prepares and submits claims to health insurance companies for services rendered to insured patients.
Ensures that all relevant documents (like medical reports, prescriptions, and invoices) are attached.

Billing and Reimbursement

Verifies the charges for treatments, surgeries, drugs, and other services.
Follows up with insurance companies to ensure timely reimbursement.

Patient Eligibility Verification

Checks whether a patient is covered by a health insurance policy.
Verifies the scope of the patient's coverage (e.g., what treatments are covered).

Communication with Insurance Companies

Acts as a bridge between the hospital and insurance providers.
Handles inquiries, disputes, and clarifications regarding claims.

Managing Rejected or Denied Claims

Reviews and corrects errors in rejected claims.
Resubmits or appeals denied claims to ensure payment is received.

Patient and Visitor Assistance

Provides directions and general help to patients or visitors.
Assists with crowd control during busy times.

Record Keeping

Maintains accurate records of all claims submitted, processed, approved, or denied.