Sr. Billing Executive

POST: Senior Billing Executive

Department : Billing / Revenue Cycle Management

Reporting to : Finance Manager / Hospital Administrator

Location : Hospital Front Office / Billing Department

Educational Qualification

• Graduate in any stream (preferred: B.Com / BBA / MBA – Healthcare / Finance)
• Diploma or certification in Hospital Billing / Healthcare Management preferred
• Knowledge of Hospital Information System (HIS)/ Mednet software is essential

Experience

• Minimum 3–5 years hospital billing experience
• Must have handled OPD and IPD billing
• Experience in TPA / Cashless / Insurance billing and claims
• Exposure to NABH documentation and audit requirements

Overall Role & Responsibility

Responsible for end-to-end hospital billing operations including OPD, IPD, Day Care, Emergency, TPA billing, final settlement, revenue reconciliation and NABH compliance documentation.

Key Responsibilities

1. OPD Billing

• Registration & billing for consultations, procedures, diagnostics
• Package billing and discounts as per policy
• Cash/card/UPI receipt handling and reconciliation
• Daily cash closing and reporting

2. IPD Billing

• Admission entry and case file creation
• Maintenance of interim & final bills
• Bed charges, nursing charges, procedure charges posting
• Doctor fee posting as per schedule
• Estimate sharing with patient attendants
• Final bill preparation & discharge clearance

3. TPA / Insurance Billing

• Pre-authorization documentation
• Cashless approvals follow-up
• Coordination with TPA desk
• Final bill submission to TPA
• Tracking settlement and rejections

4. Compliance & NABH Responsibilities

• Maintain billing policies and SOPs
• Ensure rate master control & documentation
• Support internal & external NABH audits
• Ensure patient rights, billing transparency, grievance redressal records
• Maintain confidentiality & data security

5. Revenue & Financial Control

• Daily revenue collection & reconciliation
• Dues outstanding tracking
• Refund processing as per approval
• MIS reporting to management

6. Coordination Responsibilities

Coordinate with:

• Nursing
• Front office
• TPA department
• Pharmacy
• Laboratory / Radiology
• Clarify billing queries of patients & relatives

7. Software & System

• Operate Hospital Information System (HIS)
• Excel reporting & data entry accuracy
• Troubleshooting billing errors

Desired Skills

• Strong knowledge of hospital billing processes
• Understanding of clinical departments & charges
• Good communication and counselling skills
• Analytical ability and attention to detail
• Knowledge of NABH standards related to billing

Key Performance Indicators (KPIs)

• Billing accuracy percentage
• Reduction in billing errors
• TAT for discharge billing
• Cash and collection reconciliation accuracy
• TPA claim settlement turnaround time

Work Schedule

As per hospital duty roster (including shifts and weekends)

Behavioral Competencies

• Ethical handling of financial matters
• Patient-centric approach
• Ability to handle pressure situations
• Teamwork and coordination

Job Type: Full-time

Pay: ₹25,000.00 - ₹32,000.00 per month

Benefits:

• Provident Fund

Work Location: In person