Executive / Senior Executive - IP Billing

Job Summary:

IP Billing is responsible for overseeing the in-patient billing operations to ensure accurate, efficient, and timely billing for all admitted patients. This includes managing a team of billing executives, ensuring compliance with insurance/TPA protocols, resolving billing issues, and supporting the overall financial performance of the hospital through effective revenue capture.

Key Responsibilities:Billing Operations Management:

• Supervise and review daily in-patient billing processes to ensure accuracy in charge posting, room tariff application, professional fees, and consumables.
• Monitor real-time billing activities and ensure final bills are prepared promptly upon discharge.
• Approve or authorize bills above a certain threshold as per hospital policy.

Insurance & TPA Coordination:

• Ensure accurate pre-authorization, reauthorization, and discharge intimation are handled on time.
• Liaise with TPAs and insurance companies for documentation, approvals, and clarification of queries.
• Oversee timely submission of claims and resolution of pending/rejected cases.

Team Leadership:

• Lead and manage the IP billing team; assign duties, monitor performance, and ensure staff adhere to standard billing protocols.
• Train team members on updates in insurance regulations, billing software, or hospital billing policy.
• Conduct periodic performance reviews and support professional development.

Audit & Compliance:

• Conduct internal audits of patient files, billing records, and approvals to ensure compliance with policies and standards (e.g., NABH, JCI).
• Ensure documentation, billing formats, and codes align with hospital standards and statutory requirements.

Process Improvement & Reporting:

• Identify areas for process optimization and contribute to the automation and streamlining of IP billing workflows.
• Prepare daily/weekly/monthly billing reports, outstanding summaries, and key performance metrics for senior management.
• Support annual budgeting and financial forecasting activities related to revenue collection.

Qualifications:

• Bachelor’s degree in Commerce, Finance, Healthcare Management, or related field
• 3 – 8 years of hospital billing experience, with a focus on IP billing and insurance handling

Job Types: Full-time, Permanent

Pay: ₹300,000.00 - ₹450,000.00 per year

Benefits:

• Health insurance
• Life insurance
• Provident Fund

Application Question(s):

• How many years of experience in IP Billing?

Work Location: In person