Job Description

WORK DUTIES OF BILLING MANAGER - INPATIENT BILLING & CREDIT MANAGEMENT

1.

INPATIENT BILLING MANAGEMENT (HIS)

Ensure timely and accurate generation of inpatient bills using the

Hospital Information System (HIS)

. Real-time updating of

patient charges

(room rent, surgery, pharmacy, diagnostics, consumables, professional fees, etc.). Coordinate with

nursing, pharmacy, lab, radiology, and medical departments

to avoid billing discrepancies. Monitor and verify

bed upgrades, doctor visit charges, implant costs, and surgical consumables

. Regular audits of provisional bills to ensure

no revenue leakage

.
2.

CASH PATIENT BILLING

Ensure accurate cash billing for patients not covered under insurance or panel schemes. Monitor

advance collection

, and

final billing

, and ensure timely

discharge clearance

. Supervise daily cash collection reports and submit the

cash collection summary to accounts

.
3.

INSURANCE / TPA / CREDIT BILLING

Responsible for sending

timely pre-authorization requests

to respective insurance companies/TPAs for approval. Coordination with

treating consultants

and patients for pre-auth documentation and justification letters. Ensure timely

follow-up of approvals

, including

enhancement requests

during inpatient stay. Handle queries from TPA/insurance about treatment plans or documentation. Prepare and

dispatch final bills with required documents

(case sheet, lab reports, discharge summary, etc.) to TPA post-discharge. Maintain

record of pending approvals, rejections, queries

, and resolve them promptly.
4.

CGHS / ECHS / GOVERNMENT PANEL BILLING

Prepare and forward

authorization requests, bills, and documents

as per CGHS/ECHS protocols. Ensure all relevant codes, package rates, and eligibility criteria are correctly applied. Regular

liaison with CGHS/ECHS officers

for clarifications and approvals. Monitor

submission deadlines and renewal requirements

.
5.

DOCUMENT MANAGEMENT & DISPATCH

Oversee

physical and digital dispatch

of bills, case summaries, diagnostic reports, and claim forms to TPA/panel offices. Maintain a

dispatch register/logbook

and proof of submission. Ensure that all documents are

indexed and archived

for future reference and audit.
6.

PAYMENT TRACKING & AGEING

Track

pending payments

from insurance/TPA/panel parties on a

real-time basis

. Generate and monitor

ageing reports

- 30 days, 60 days, 90 days+ outstanding. Flag long-pending payments and follow up with finance/TPA for resolution. Coordinate with accounts to

match payments received with bills submitted

and record

settlements accurately

.
7.

SETTLEMENT OF PAYMENTS

Ensure timely

receipt reconciliation

of payments received from insurance, TPA, CGHS, ECHS, corporates. Coordinate with the accounts department for

posting of credit entries

and closing of patient accounts. Investigate and resolve

short payments, deductions, and payment mismatches

. Maintain

settlement MIS

for internal tracking and audit.
8.

DASHBOARD MANAGEMENT

Update and maintain a real-time

Billing Dashboard

with: Daily billing summary Pending authorization list Ageing report Revenue breakup (Cash vs. Credit) Settlement and receipt summary Generate

daily/weekly/monthly MIS reports

for senior management and finance.
9.

AUDIT & COMPLIANCE

Ensure compliance with

NABH/JCI billing documentation standards

. Coordinate with internal and external

auditors

during audits. Rectify any irregularities in documentation, overcharging, or underbilling.
10.

TEAM MANAGEMENT & TRAINING

Supervise the billing team for shift-wise operations, staff allocation, and leave planning. Conduct

regular training sessions

for billing staff on system updates, new policies, and panel requirements. Escalate unresolved billing or documentation issues to hospital management.
Job Types: Full-time, Permanent

Pay: ₹19,364.33 - ₹65,135.32 per month

Benefits:

Cell phone reimbursement Health insurance Internet reimbursement Paid sick time Paid time off Provident Fund
Ability to commute/relocate:

Urban Estate, Gurugram, Haryana: Reliably commute or planning to relocate before starting work (Preferred)
Experience:

Hospital: 3 years (Required)
Work Location: In person

Expected Start Date: 06/08/2025