Job Description

Job Summary:

IP Billing is responsible for overseeing the in-patient billing operations to ensure accurate, efficient, and timely billing for all admitted patients. This includes managing a team of billing executives, ensuring compliance with insurance/TPA protocols, resolving billing issues, and supporting the overall financial performance of the hospital through effective revenue capture.

Key Responsibilities:Billing Operations Management:

Supervise and review daily in-patient billing processes to ensure accuracy in charge posting, room tariff application, professional fees, and consumables. Monitor real-time billing activities and ensure final bills are prepared promptly upon discharge. Approve or authorize bills above a certain threshold as per hospital policy.

Insurance & TPA Coordination:

Ensure accurate pre-authorization, reauthorization, and discharge intimation are handled on time. Liaise with TPAs and insurance companies for documentation, approvals, and clarification of queries. Oversee timely submission of claims and resolution of pending/rejected cases.

Team Leadership:

Lead and manage the IP billing team; assign duties, monitor performance, and ensure staff adhere to standard billing protocols. Train team members on updates in insurance regulations, billing software, or hospital billing policy. Conduct periodic performance reviews and support professional development.

Audit & Compliance:

Conduct internal audits of patient files, billing records, and approvals to ensure compliance with policies and standards (e.g., NABH, JCI). Ensure documentation, billing formats, and codes align with hospital standards and statutory requirements.

Process Improvement & Reporting:

Identify areas for process optimization and contribute to the automation and streamlining of IP billing workflows. Prepare daily/weekly/monthly billing reports, outstanding summaries, and key performance metrics for senior management. Support annual budgeting and financial forecasting activities related to revenue collection.

Qualifications:

Bachelor's degree in Commerce, Finance, Healthcare Management, or related field 3 - 8 years of hospital billing experience, with a focus on IP billing and insurance handling
Job Types: Full-time, Permanent

Pay: ?300,000.00 - ?450,000.00 per year

Benefits:

Health insurance Life insurance Provident Fund
Application Question(s):

How many years of experience in IP Billing?
Work Location: In person