Billing / TPA - Senior Executive

Job Purpose:

The Assistant Manager – Billing / TPA is responsible for overseeing billing operations, TPA coordination, audits, and compliance to ensure accurate revenue realization and adherence to hospital policies. The role supports efficient billing processes across cash, TPA, and corporate segments using TCS HIS software.

Key Responsibilities:

• Prepare, update, and maintain Schedule of Charges (SOC) for Cash, TPA, and Corporate billing
• Prepare and validate Doctor Payout statements on a monthly basis
• Prepare financial and operational MIS reports for management review
• Design, update, and maintain surgical and procedure packages
• Justify and reconcile actual bills against estimated bills for discharged patients
• Monitor billing accuracy and identify discrepancies or revenue leakages
• Ensure compliance with hospital policies, internal controls, and applicable regulatory guidelines
• Coordinate with billing, clinical, TPA, and insurance teams to resolve billing hurdles and escalations
• Support audits (internal / external) and ensure timely closure of observations
• Guide and supervise billing executives to ensure process adherence and accuracy.

Skills & Competencies:

• Strong knowledge of hospital billing, TPA processes, and packages
• Hands-on experience with HIS (TCS HIS preferred)
• Proficiency in MIS preparation and data analysis
• Good understanding of insurance guidelines and compliance
• Strong coordination, communication, and problem-solving skills
• Attention to detail and audit orientation

Job Type: Full-time

Pay: ₹30,000.00 - ₹40,000.00 per month

Work Location: In person