Job Description

The ESI / ECHS Billing Executive is responsible for preparing, verifying, and submitting bills related to

ESI and ECHS patients

. The role involves coordinating with doctors, nursing staff, and government/insurance representatives to ensure accurate billing, timely submission of claims, and recovery of payments as per ESI & ECHS guidelines.

Key Responsibilities:

Prepare and verify bills of patients covered under

ESI & ECHS schemes

.

Check authorization letters, referral slips, and entitlement documents before billing.

Ensure charges are in line with

ESI/ECHS package rates and guidelines

.

Upload and submit claims through ESI/ECHS portals, wherever applicable.

Coordinate with

TPA / ESI / ECHS authorities

for pre-authorization and approvals.

Maintain patient-wise and claim-wise documentation for audit and verification.

Track, follow up, and reconcile outstanding payments from ESI & ECHS authorities.

Prepare monthly and quarterly claim submission and settlement reports.

Liaise with hospital departments (OPD, IPD, Pharmacy, Diagnostics, OT) for charge verification.

Resolve billing-related queries raised by patients, auditors, or authorities.

Ensure compliance with

government rules, hospital policies, and audit requirements

.

Job Type: Full-time

Work Location: In person