Key Responsibilities1. Patient Billing OperationsGenerate accurate bills for OPD, daycare chemotherapy, immunotherapy, targeted therapy, supportive care, procedures, investigations, and pharmacy items. Ensure correct mapping of services, consumables, drugs, and qualified charges as per approved rate lists.Prepare interim, final, and discharge bills as applicable. Explain bills clearly to patients/attendants and address billing-related queries politely and professionally.Insurance, TPA & Corporate BillingVerify insurance eligibility, policy coverage, sub-limits, exclusions, and waiting periods. Coordinate pre-authorization requests with TPAs/insurance companies, including documentation and timely follow-ups.Ensure billing strictly adheres to approved GIPSA/TPA rate lists and negotiated corporate rates. Prepare and submit claims with complete documentation within defined TAT.Track claim status, respond to queries, and follow up for approvals, enhancements, and settlements. Identify discrepancies in settlement letters and escalate for resolution.



Cash & Credit ManagementCollect payments via cash, card, UPI, bank transfer, or cheque as per hospital policy. Issue receipts and ensure proper daily cash reconciliation.Coordinate with accounts for deposit of collections and daily MIS reporting. Maintain transparency and prevent underbilling, overbilling, or duplication of charges.. Coordination with Clinical & Support TeamsCoordinate closely with doctors, nurses, pharmacy, lab, and front desk to ensure all billable services are captured. Validate chemotherapy protocols, drug dosages, cycles, and consumables before billing.Ensure real-time updates of additional orders or changes in treatment plans.5. Documentation & Compliance Maintain complete patient billing files (physical and/or digital) with consent forms, approvals, case sheets, and investigation reports.Ensure compliance with NABH standards (if applicable), insurance norms, a

📌 Medical Billing Executive (Hauz Khas)
🏢 Gyanindit
📍 Hauz Khas