Billing Head (IPD & OPD)

Key Responsibility Areas (KRA):

1. IPD Billing Management

• Oversee and ensure accurate, timely preparation of In-Patient Department (IPD) bills.

• Ensure final billing is completed prior to patient discharge.

• Monitor billing processes to avoid revenue leakage and discrepancies.

2. Expertise in Billing Norms & Rate Structures

• In-depth knowledge of CGHS, ECHS, PSU, ESI, and corporate billing norms.

• Well-versed with updated CGHS rate lists and policy revisions.

• Strong understanding of TPA/Insurance billing guidelines and compliance requirements.

3. Cash / TPA / PSU & Corporate Billing Oversight

• Supervise billing operations for Cash, TPA, PSU, and Corporate patients.

• Review and validate TPA approvals, pre-authorizations, and settlements.

• Ensure timely claim submission and minimize rejections/deductions.

4. Team Leadership & Coordination

• Lead and manage the IPD billing team efficiently.

• Coordinate with doctors, nursing staff, insurance desk, and TPA coordinators for seamless billing operations.

• Ensure complete documentation from admission to discharge, including approvals and claim records.

5. Compliance & Documentation Control

• Ensure adherence to hospital billing policies and regulatory norms.

• Maintain proper documentation of approvals, deductions, queries, and rejections.

• Conduct periodic audits to ensure accuracy and transparency.

6. Patient & Attendant Support

• Provide clear explanations regarding billing queries to patients and attendants.

• Ensure a smooth and hassle-free discharge process through accurate billing management.

Job Types: Full-time, Permanent

Pay: ₹50,000.00 - ₹70,000.00 per month

Work Location: In person