Hospital Billing Operation

Department: Billing Operations
Reporting To: Billing Manager / Finance Head

Job Summary:

The Hospital Billing Operations Executive is responsible for accurate and timely billing of inpatient and outpatient services, ensuring compliance with hospital policies, insurance guidelines, and regulatory requirements. The role focuses on revenue integrity, coordination with clinical and insurance teams, and smooth patient billing processes.

Key Responsibilities:

• Prepare and process OPD, IPD, and daycare billing accurately and in a timely manner.
• Verify patient details, tariff packages, approvals, and insurance coverage prior to billing.
• Coordinate with doctors, nursing staff, and departments for charge capture and service confirmation.
• Handle cash, credit, and insurance billing, including TPA and corporate accounts.
• Generate final bills, explain charges to patients/attendants, and address billing queries.
• Ensure proper documentation for insurance claims including estimates, approvals, and final bills.
• Maintain billing records, MIS reports, and daily collections reconciliation.
• Adhere to hospital SOPs, and statutory requirements.
• Identify billing discrepancies and escalate issues for resolution.
• Support audits, internal reviews, and insurance claim verifications.

Required Skills & Competencies:

• Knowledge of hospital billing processes (OPD/IPD/Insurance)
• Familiarity with TPA, CGHS, corporate, and cash billing
• Working knowledge of Hospital Information Systems (HIS)
• Attention to detail and accuracy
• Good communication and coordination skills
• Ability to work in shifts and under pressure

Eligibility Criteria:

• Graduate in any discipline (Commerce preferred)
• 1–4 years of experience in hospital billing operations

Job Types: Full-time, Permanent

Pay: ₹40,000.00 - ₹60,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Work Location: In person