Job Description

The ECHS Billing Head is responsible for overseeing the entire ECHS billing process, ensuring accurate and timely billing, claim submission, authorization, coordination with ECHS authorities, and smooth reimbursement cycle. The role ensures compliance with ECHS policies and facilitates seamless communication between hospital departments and ECHS representatives.

Key Responsibilities:

Billing & Claims Management

Ensure accurate generation of ECHS bills as per Government guidelines. Verify completeness of patient documents and treatment approvals before billing. Monitor timely claim submission and follow up for payments. Regular reconciliation of ECHS receivables and pending bills. Audit bills to avoid discrepancies, deductions, and rejections.

Coordination & Compliance

Maintain coordination with ECHS polyclinics, regional centers, and hospital departments. Ensure updated knowledge of ECHS rules, tariffs, packages, and empanelment requirements. Maintain all required records/documents for audits and inspections. Implement corrective actions for deduction or claim-related issues.

Team Leadership

Supervise and guide billing executives/TPA staff handling ECHS billing. Train team on ECHS processes, documentation, and system updates. Allocate workload and set performance standards.

Patient & Stakeholder Management

Address patient/relative queries regarding ECHS billing concerns. Maintain professional relations with ECHS officials and internal clinical teams.

Qualification & Experience:

Graduate / Postgraduate in, Healthcare Administration, BAMS/ BDS or relevant stream. Minimum

3-7 years

of experience in hospital billing, preferably handling

ECHS / government schemes

. Knowledge of healthcare billing software, ECHS guidelines, and reimbursement process.
Job Type: Full-time

Work Location: In person