Blog Details

Job Summary
Responsible for managing hospital billing operations, insurance/TPA claims, receivables, cash
reconciliation, and billing team performance while ensuring accuracy, compliance, and timely
discharge billing.

Key Responsibilities

• Manage end-to-end OPD/IPD billing and final billing.
• Monitor insurance/TPA claims, pre-authorizations, submissions, rejections and settlements.
• Ensure cashless claims are submitted within defined TAT.
• Monitor TPA receivables, ageing, collections and short-payment disputes.
• Supervise daily cash and billing reconciliation.
• Monitor billing activities through HMS.
• Ensure billing accuracy and minimize revenue leakage.
• Coordinate with Operations, CNO, Finance, Medical Records and other departments.
• Supervise, train and monitor the billing team.
• Ensure adherence to billing SOPs, hospital policies and NABH requirements.
• Prepare daily/weekly/monthly billing and receivables MIS reports.

Job Specifications:

• Bachelor’s degree in Hospital Administration, Healthcare Management, Commerce, Finance
  or related field.
• 4–7 years of hospital billing experience, preferably in a multi-speciality hospital.
• Strong knowledge of IPD/OPD billing, Insurance/TPA and receivables.
• Good MS Excel and HIS/Drucare knowledge.
• Strong communication, coordination and team-management skills.