Job Summary The IP Billing Executive is responsible for handling end-to-end In-Patient billing operations with special focus on Insurance, TPA, and PSU (Public Sector Undertaking) billing cases. The role ensures accurate bill preparation, timely claim processing, coordination with insurance/TPA representatives, and smooth discharge procedures.

Key Responsibilities

1 IP Billing Operations

- Prepare provisional and final IP bills accurately.
- Verify all service entries including room rent, investigations, procedures, pharmacy, implants, and consumables.
- Cross-check consultant orders and treatment sheets before final bill generation.
- Ensure timely bill closure to avoid discharge delays.
- Maintain billing accuracy as per hospital tariff and package rates.

2 Insurance / TPA Handling

- Process cashless and reimbursement cases.
- Coordinate with insurance companies and TPAs for:
- Pre-authorization approvals

- Enhancement requests

- Query clarification

- Final claim submission
- Ensure submission of complete documentation:

- Claim form

- Discharge summary

- Investigation reports
- Final bill and payment receipts
- Follow up on pending approvals and claim settlements.
- Analyze and manage claim deductions.

3 PSU / Corporate Billing

- Handle PSU and corporate tie-up billing as per agreement terms.




- Ensure compliance with PSU documentation requirements.
- Track PSU approvals and maintain billing records.
- Coordinate with corporate desk and finance team for payment follow-up.

4 Documentation & Compliance

- Maintain accurate billing records and claim files.
- Ensure compliance with hospital policies and insurance guidelines.
- Support audits by providing necessary billing documentation.
- Maintain confidentiality of patient financial information.

5 Patient & Internal Coordination

- Explain billing details and insurance coverage to patients/attendants.
- Coordinate with nursing, pharmacy, and doctors for missing entries.
- Resolve billing discrepancies and patient concerns professionally.

Required Skills

- Strong knowledge of IP billing process
- Experience in Insurance / TPA claim processing
- Understanding of PSU billing protocols
- Familiarity with Hospital Information System (HIS)
- Positive communication and coordination skills
- Attention to detail and accuracy
- Ability to handle high patient volumes

Qualification

- Graduate (Commerce / Hospital Administration / Healthcare Management preferred)

Experience

- 24 years of experience in IP Billing
- Hands-on experience in Insurance, TPA & PSU cases
- Experience in multi-specialty hospital preferred

📌 Walk-in || Ip Billing Executive (Hyderabad)
🏢 Continental Hospitals
📍 Hyderabad