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Position Overview

Designation: Accountant & Billing Executive

Location: Khammam, Telangana

Hospital Type: Small/mediumsize Multispeciality Hospital The role combines core accounting with endtoend patient billing to ensure accurate financial records, proper revenue capture, and smooth patient experience.

Key Responsibilities

A. Accounting & Finance

- Maintain daytoday books of accounts (cash, bank, journal, ledgers) in Tally or similar accounting software.
- Record all income and expenses including OP/IP billing, pharmacy, lab, radiology, and other departmental revenues.
- Prepare daily collection statements, bank deposit slips, and reconcile cash/card/UPI collections with billing and cashier reports.
- Prepare monthly trial balance, profit & loss, and basic MIS reports for management (collections, outstanding receivables, major expenses).
- Track payables (vendors, consultants, outsourced services) and prepare payments with proper supporting documents and approvals.
- Support statutory compliances: GST (if applicable), TDS, PF/ESI data collation, and coordinate with external auditor for filings.
- Maintain fixed asset register, petty cash, and ensure proper documentation for internal and external audits.

B. Patient Billing Operations

- Generate accurate OPD, IPD, emergency, and procedure bills as per hospital tariff and services availed (room rent, procedures, investigations, pharmacy, consumables, packages).
- Verify consultants fees, orders, charge sheets, discharge summaries, and departmental postings before final billing to avoid revenue leakage.
- Handle admission deposits, advances, interim bills, discharge bills, refunds, and bill closure within defined turnaround time.
- Process insurance/TPA/cashless bills: check approvals,



inclusions/exclusions, sublimits, and coordinate with insurance desk for preauth and final bill submission.
- Maintain complete billing documentation: patient invoices, receipts, approvals, discount notes, and ensure files are auditready.
- Generate daily billing MIS: total bills, collections, outstanding amounts, credit/TPA cases, discounts, and share with management.

C. Cash Handling & Reconciliation

- Collect payments (cash, card, UPI, cheque) and issue receipts with zero variance in cash handling.
- Reconcile endofday cash, card, and UPI reports with HIS/billing system and hand over cash to authorized person with proper documentation.
- Monitor outstanding patient and corporate/TPA dues and assist in followup for recovery as per hospital policy.

D. Patient Support & Communication

- Explain estimates, interim bills, and final bills to patients/attendants in a explicit and courteous manner.
- Resolve billingrelated queries and coordinate with front office, nursing, pharmacy, lab, and radiology to correct discrepancies quickly.
- Maintain confidentiality of patient and financial information and adhere to hospital code of conduct.

E. Compliance & Audit

- Ensure adherence to hospital tariff, discount policy, and authorization protocols for concessions.




- Support internal and external audits by providing required financial and billing data and implement corrective actions for audit observations.
- Stay updated on changes in hospital billing rules, insurance norms, and basic healthcare taxation requirements.

Required Qualifications

- Graduate in Commerce/Accounting (B.Com preferred); MBA/PG in Finance is an added advantage.
- 24 years experience in hospital accounting and/or hospital billing (OPD/IPD/TPA) in a small or mediumsize healthcare setup.
- Strong knowledge of tally or similar accounting software plus hospital information system (HIS)/EMR billing modules.
- Basic understanding of GST, TDS, and healthcare billing compliances in India.
- Good numerical ability, attention to detail, and proficiency in Excel for reports and reconciliations.

Skills & Competencies

- Technical skills: Hospital billing flow (OP/IP/TPA), charge capture, reconciliation, cash handling, accounting entries, and documentation.
- Communication skills: Ability to explain bills, handle patient queries, and coordinate with clinical and nonclinical teams.
- Behavioral skills: Integrity, discipline in following SOPs, strong ownership, ability to work under pressure during peak hours or multiple discharges.
- Computer skills: HIS/billing software, Tally or equivalent, MS Excel and Word.

Working Conditions

- Fulltime, onsite role at the hospital premises.
- Duty hours as per hospital policy (general shift; flexibility for extended hours during monthend/ yearend closing and heavy discharge days).
- Reporting to Hospital Administrator / Finance Manager / Medical Director depending on organizational structure.

Benefits:

- Provident Fund and ESI

Work Location: In person

📌 Accountant & Administration (Khammam)
🏢 Srujan Multi Specialty Hospital
📍 Khammam