- Billing Operations Management

- Supervise and manage OP &
- IP billing teams.

- Ensure accurate and timely generation of patient bills.

- Monitor daily billing activities, reconciliations, and cash collection.

- Validate service coding (ICD/CPT) and pricing in accordance with policies.

- Generate and present daily, weekly, and monthly collection reports to senior leadership.

- Analyze aging reports, highlight trends, and propose corrective actions.

- Insurance Coordination &

- Claims Processing

- Oversee pre-authorization, insurance eligibility verification, and approvals.

- Supervise submission of insurance claims and monitor turnaround times.

- Follow up on pending claims and coordinate with insurers for settlement.

- Address claim rejections, denials, and initiate appeals as necessary.

- Compliance &

- Documentation

- Ensure compliance with medical billing regulations and insurer requirements.

- Maintain accurate documentation of billing and insurance communications.

- Stay updated with changes in insurance guidelines and tariff revisions.

- Team Management

- Lead and train billing and insurance team members.





- Conduct regular performance reviews and feedback sessions.

- Allocate work schedules and ensure staffing coverage.

- Reporting &

- Audit

- Generate and analyze daily/weekly/monthly billing and collection reports.

- Support internal and external audits by providing necessary documentation.

- Monitor KPIs such as billing accuracy, claim rejection rate, and AR days.

- Maintain complete documentation of communication and collection efforts.

- Regularly review and update SOPs to reflect current best practices.

- Stakeholder Coordination

- Liaise with clinicians, patient service departments, and finance teams.

- Address patient concerns related to billing or insurance coverage.

Coordinate with TPA/insurance representatives for seamless operations.

Qualifications

B.com,BBA,Any graduation

Must have skills

- Passion for Excellence

- Results Orientation

- Communication Skills

- Customer Focus

Positive to have skills

- Building Relationships

- Leadership &
- Influencing

- Problem Solving and Decision Making

📌 IP Billing &Insurance (Bengaluru)
🏢 Cytecare Hospitals
📍 Bengaluru