Job Description

POST: Senior Billing Executive

Department

: Billing / Revenue Cycle Management

Reporting to

: Finance Manager / Hospital Administrator

Location

: Hospital Front Office / Billing Department

Educational Qualification

Graduate in any stream (preferred: B.Com / BBA / MBA - Healthcare / Finance) Diploma or certification in

Hospital Billing / Healthcare Management

preferred Knowledge of

Hospital Information System (HIS)/ Mednet software

is essential

Experience

Minimum

3-5 years hospital billing experience

Must have handled

OPD and IPD billing

Experience in

TPA / Cashless / Insurance billing and claims

Exposure to

NABH documentation and audit requirements

Overall Role & Responsibility

Responsible for

end-to-end hospital billing operations

including OPD, IPD, Day Care, Emergency, TPA billing, final settlement, revenue reconciliation and NABH compliance documentation.

Key Responsibilities

1. OPD Billing

Registration & billing for consultations, procedures, diagnostics Package billing and discounts as per policy Cash/card/UPI receipt handling and reconciliation Daily cash closing and reporting

2. IPD Billing

Admission entry and case file creation Maintenance of

interim & final bills

Bed charges, nursing charges, procedure charges posting Doctor fee posting as per schedule Estimate sharing with patient attendants Final bill preparation & discharge clearance

3. TPA / Insurance Billing

Pre-authorization documentation Cashless approvals follow-up Coordination with TPA desk Final bill submission to TPA Tracking

settlement and rejections

4. Compliance & NABH Responsibilities

Maintain

billing policies and SOPs

Ensure

rate master control & documentation

Support

internal & external NABH audits

Ensure

patient rights, billing transparency, grievance redressal records

Maintain

confidentiality & data security

5. Revenue & Financial Control

Daily revenue collection & reconciliation Dues outstanding tracking Refund processing as per approval MIS reporting to management

6. Coordination Responsibilities

Coordinate with:

Nursing Front office TPA department Pharmacy Laboratory / Radiology Clarify billing queries of patients & relatives

7. Software & System

Operate

Hospital Information System (HIS)

Excel reporting & data entry accuracy Troubleshooting billing errors

Desired Skills

Strong knowledge of

hospital billing processes

Understanding of

clinical departments & charges

Good communication and counselling skills Analytical ability and attention to detail Knowledge of

NABH standards related to billing

Key Performance Indicators (KPIs)

Billing accuracy percentage Reduction in billing errors TAT for discharge billing Cash and collection reconciliation accuracy TPA claim settlement turnaround time

Work Schedule

As per hospital duty roster (including shifts and weekends)

Behavioral Competencies

Ethical handling of financial matters Patient-centric approach Ability to handle pressure situations Teamwork and coordination
Job Type: Full-time

Pay: ?25,000.00 - ?32,000.00 per month

Benefits:

Provident Fund
Work Location: In person