The Hospital Cash and Insurance Billing Executive is responsible for managing patient billing processes, handling cash transactions, and processing insurance claims. This role ensures accurate invoicing, timely reimbursements, and excellent coordination between patients, insurance companies, and hospital departments.
Key Responsibilities:Cash Billing:
Generate and process cash bills for outpatient (OPD) and inpatient (IPD) services.
Collect and reconcile payments made through cash, credit/debit cards, and digital platforms.
Issue payment receipts and maintain accurate transaction records.
Assist patients with billing queries and provide clear explanations of charges.
Insurance Billing:
Process pre-authorizations and approvals from insurance companies.
Generate and submit insurance claims with all necessary documentation.
Follow up with TPAs (Third Party Administrators) and insurance companies for claim approvals and payments.
Resolve discrepancies or claim rejections by coordinating with insurance representatives and internal departments.
General Duties:
Maintain up-to-date billing records and ensure compliance with hospital and regulatory standards.
Coordinate with doctors, nurses, and other departments for accurate billing inputs.
Handle discharge billing and ensure timely settlement of accounts.
Prepare daily cash and billing reports for submission to the finance department.
Support internal and external audits as needed.
Qualifications & Requirements:
Bachelor's degree in Commerce, Finance, Healthcare Administration, or related field.
1-3 years of experience in hospital billing or similar healthcare setting.
Familiarity with medical coding, insurance processes, and healthcare billing systems.
Good knowledge of TPA and insurance claim workflows.
Proficiency in billing software and MS Office.
Excellent communication, problem-solving, and organizational skills.
Job Type: Full-time
Pay: ₹15,000.00 - ₹20,000.00 per month
Work Location: In person
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