The Assistant Manager - Billing / TPA is responsible for overseeing billing operations, TPA coordination, audits, and compliance to ensure accurate revenue realization and adherence to hospital policies. The role supports efficient billing processes across cash, TPA, and corporate segments using TCS HIS software.
Key Responsibilities:
Prepare, update, and maintain
Schedule of Charges (SOC)
for Cash, TPA, and Corporate billing
Prepare and validate
Doctor Payout statements
on a monthly basis
Prepare
financial and operational MIS reports
for management review
Design, update, and maintain
surgical and procedure packages
Justify and reconcile
actual bills against estimated bills
for discharged patients
Monitor billing accuracy and identify discrepancies or revenue leakages
Ensure compliance with hospital policies, internal controls, and applicable regulatory guidelines
Coordinate with billing, clinical, TPA, and insurance teams to resolve
billing hurdles and escalations
Support audits (internal / external) and ensure timely closure of observations
Guide and supervise billing executives to ensure process adherence and accuracy.
Skills & Competencies:
Strong knowledge of hospital billing, TPA processes, and packages
Hands-on experience with
HIS (TCS HIS preferred)
Proficiency in MIS preparation and data analysis
Good understanding of insurance guidelines and compliance
Strong coordination, communication, and problem-solving skills
Attention to detail and audit orientation
Job Type: Full-time
Pay: ₹30,000.00 - ₹40,000.00 per month
Work Location: In person
Beware of fraud agents! do not pay money to get a job
MNCJobsIndia.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.