Job Summary The Billing In-Charge is responsible for managing the day-to-day operations of the hospital billing department, ensuring accurate and timely billing, proper revenue collection, insurance/TPA coordination, and compliance with hospital billing procedures. The role involves supervising billing staff, monitoring patient billing, resolving billing discrepancies, and coordinating with clinical and administrative departments.

Roles & Responsibilities1. Billing Operations

- Manage the daily operations of the hospital billing department.
- Ensure accurate preparation and processing of inpatient and outpatient bills.
- Monitor patient billing from admission through discharge.
- Ensure all services, procedures, investigations, medicines, consumables, and other charges are accurately captured.
- Verify billing entries and minimize billing errors and revenue leakage.
- Ensure timely generation and closure of final bills.

1. Team Management

- Supervise and guide billing executives and other billing staff.
- Allocate duties and monitor staff performance and productivity.
- Prepare and manage billing staff duty rosters and shift requirements.
- Train team members on billing procedures, hospital policies, and software usage.
- Address operational issues and ensure smooth functioning of the billing counter.

1. Insurance & TPA Billing

- Coordinate with Insurance and TPA departments for cashless and reimbursement cases.
- Ensure proper documentation and billing requirements are completed for insurance claims.
- Monitor pre-authorization, enhancement, discharge approval, and claim-related processes.
- Coordinate with insurance/TPA teams regarding billing clarifications and discrepancies.
- Follow up on pending claim documentation and billing-related issues.

1. Patient Billing & Customer Coordination

- Handle patient and attendant queries related to billing and payments.




- Resolve billing discrepancies and escalate complex issues to the appropriate authority.
- Ensure transparency and accuracy in patient billing.
- Coordinate with Front Office, Nursing, Pharmacy, Laboratory, Radiology, OT, ICU, and other departments for correct charge capture.
- Maintain qualified and courteous communication with patients and attendants.

1. Cash & Revenue Monitoring

- Monitor daily billing collections and payment transactions.
- Verify cash, card, UPI, and other payment records.
- Coordinate with the Finance/Accounts Department for daily collection reconciliation.
- Monitor outstanding patient balances and pending payments.
- Ensure proper documentation of refunds, discounts, concessions, and adjustments as per hospital policy.

1. Billing Software & MIS

- Ensure proper utilization of hospital billing/HIS software.
- Monitor billing reports and identify discrepancies.
- Prepare daily, weekly, and monthly billing reports as required.
- Track revenue, outstanding bills, discounts, refunds, and other billing-related indicators.
- Maintain accurate billing records and documentation.

1. Discharge & Final Bill Monitoring

- Coordinate with clinical and nursing departments for timely discharge billing.
- Verify final bills before discharge wherever required.
- Ensure pending charges are captured before final bill closure.
- Coordinate with pharmacy, laboratory, radiology, OT, ICU, and other departments to prevent missed charges.
- Monitor delayed billing and discharge-related billing issues.

1. Compliance & Internal Controls

- Ensure billing activities are carried out according to hospital policies and procedures.
- Maintain confidentiality of patient and financial information.
- Follow approved discount, refund, credit, and concession procedures.
- Support internal and external audits related to billing and revenue.
- Maintain proper records for audit and compliance requirements.

Work Location: In person

📌 Billing Incharge (Tirunelveli)
🏢 Sooriya Hospital
📍 Tirunelveli