Job Description

Billing Manager - Hospital Setting: Key Responsibilities

1.

Patient Billing Oversight

Ensure accurate and timely generation of patient bills based on services rendered. Supervise entry of charges from departments like radiology, surgery, lab, and pharmacy. Validate that billing reflects correct coding (ICD-10, CPT, HCPCS) and insurance rules.
2.

Insurance Claims and Reimbursements

Oversee submission of insurance claims to private insurers, Medicare, and Medicaid. Ensure compliance with payer-specific requirements and government regulations. Track claim statuses and manage rejections, denials, and appeals.
3.

Revenue Cycle Management

Coordinate the full cycle from patient registration to final payment. Monitor accounts receivable and collections; work to reduce days in A/R (Accounts Receivable). Collaborate with revenue integrity, finance, and HIM (Health Information Management) departments.
4.

Team Leadership

Manage and train billing and coding staff. Delegate tasks effectively and ensure staff follow hospital billing protocols. Conduct performance reviews and staff development activities.
5.

Compliance and Audit Readiness

Ensure billing practices comply with: HIPAA CMS (Centers for Medicare & Medicaid Services) guidelines Local and federal regulations Prepare documentation for internal and external audits.
6.

Patient Communication and Support

Address patient inquiries regarding charges, statements, and payment plans. Coordinate with patient financial services to resolve billing concerns or complaints.
7.

Technology and Reporting

Oversee the use and maintenance of hospital billing systems (e.g., Epic, Cerner, Meditech). Generate reports on billing performance, claim rejections, and revenue metrics. Work with IT and compliance teams to upgrade billing software and implement automation.
8.

Interdepartmental Coordination

Liaise with clinical departments, admissions, and case management to ensure complete charge capture. Support the finance department in forecasting and budgeting related to billing.
Critical Skills Required

Deep knowledge of medical billing and coding standards (ICD-10, CPT, DRGs) Familiarity with hospital billing software (e.g., Epic, Cerner) Strong understanding of payer guidelines (Medicare/Medicaid/Private) Leadership, communication, and analytical skills
Job Type: Full-time

Pay: ₹15,000.00 - ₹20,000.00 per month

Benefits:

Provident Fund
Schedule:

Morning shift Night shift Rotational shift
Supplemental Pay:

Yearly bonus
Ability to commute/relocate:

Mangadu, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required)
Education:

Bachelor's (Required)
Experience:

Billing: 1 year (Required)
Language:

English and Tamil (Required)
Shift availability:

Day Shift (Preferred) Night Shift (Preferred)
Work Location: In person

Application Deadline: 03/08/2025
Expected Start Date: 12/08/2025