Billing & Insurace Executive

Billing Duties:

• Generate, verify, and finalize inpatient and outpatient bills.
• Ensure correct charging of services, procedures, medicines, and consumables as per hospital policy.
• Handle cash, card, and online payment transactions.
• Coordinate with wards, pharmacy, lab, and radiology departments for billing accuracy.
• Issue discharge clearance after bill settlement.

Credit Cell Duties:

• Coordinate with TPAs, insurance companies, and corporate clients for cashless approvals.
• Verify patient insurance/credit eligibility and obtain necessary documentation.
• Submit pre-authorization requests and track approvals.
• Prepare and submit claims within the stipulated time frame.
• Follow up with TPAs/corporates for claim settlement and reconciliation.
• Maintain records of outstanding bills and ensure timely collection.

General Duties:

• Assist patients/attendants with billing queries and provide clarity.
• Maintain confidentiality of patient and financial data.
• Generate daily/weekly/monthly billing and outstanding reports.
• Support audits and compliance requirements.

Skills & Competencies:

• Knowledge of hospital billing processes, insurance, and TPA procedures.
• Strong communication and coordination skills.
• Good numerical and analytical ability.
• Proficiency in hospital billing software, MS Excel & Word.
• Ability to work under pressure and meet deadlines.

Qualification & Experience:

• Graduate in Commerce/Finance/Healthcare Administration (preferred).
• 1–3 years of experience in hospital billing/credit cell/TPA desk.
• Experience with insurance and corporate billing will be an added advantage.

Job Types: Full-time, Permanent, Fresher

Pay: ₹12,000.00 - ₹18,000.00 per month

Benefits:

• Health insurance
• Paid sick time
• Provident Fund
• Work from home