Hospital Pricing Specialist

2 days ago

Islamabad, Islamabad, Pakistan beBeeChargeMaster Full time 1,750,834 - 2,515,969

Job Overview

We are seeking a seasoned professional to oversee the management and accuracy of our hospital's charge master and pricing structure.

The successful candidate will be responsible for maintaining accurate representation, appropriate pricing, and regular updates of clinical and ancillary services.

Main Responsibilities:

  • Maintain and regularly update the hospital's charge master across all panel organizations.
  • Ensure service charges are set and updated in accordance with panel agreements and internal policies.
  • Coordinate with Clinical and Finance teams to add new procedures, services, and supplies to the charge master.
  • Review and reconcile charge master entries; categorize outsourced and newly added services for each panel as per policy.
  • Mark and update non-admissible and non-allowed items specific to each panel organization.
  • Disseminate change notifications and pricing updates to relevant departments in a timely manner.
  • Maintain detailed documentation of charge master updates, pricing changes, and revision logs.
  • Monitor and update service pricing based on hospital policies, market benchmarks, and payer reimbursement trends.
  • Support annual rate revisions and participate in pricing audits.
  • Assist the Business Office and Billing teams in resolving price-related queries and discrepancies.
  • Conduct benchmarking studies and cost analyses to inform pricing decisions.
  • Analyze service category utilization and volume to support strategic pricing decisions.
  • Liaise with the IT department to implement pricing and service updates in HIS/EHR systems.
  • Guide departments on appropriate protocols for submitting requests related to new or modified charge items.

Requirements and Qualifications

  • Bachelor's or Master's degree in Healthcare Administration, Finance, Medical Coding, or a related field.
  • Minimum 6 years of proven experience in hospital billing, charge master, or pricing coordination roles.
  • Strong knowledge of hospital tariffs, payer policies, and cost estimation methodologies.
  • Familiarity with HMIS/EMR systems and hospital billing software.
  • Detail-oriented, with strong analytical, documentation, and cross-functional coordination skills.
  • Strong Customer Service and Communication skills.
  • Excellent interpersonal and team collaboration skills.

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