Roles and Responsibilities

Team Leadership
Supervise, train, mentor, and evaluate billing and coding personnel.
Monitor team performance and ensure adherence to billing standards and departmental KPIs.
Conduct regular training sessions to enhance staff knowledge and productivity.

Claim Management
Oversee the timely submission of electronic and paper claims to insurance companies, TPAs, and other payers.
Review claim accuracy before submission to minimize denials and payment delays.
Ensure compliance with payer-specific billing requirements.

Revenue Cycle Management
Monitor Accounts Receivable (AR) and follow up on outstanding claims.
Analyze claim denials and coordinate appeals, corrections, and resubmissions.
Generate and review revenue cycle reports to identify trends and improvement prospects.

Department Coordination
Collaborate with nursing, pharmacy, diagnostics, and other clinical departments to ensure accurate charge capture and documentation.
Resolve discrepancies related to billing, coding, and insurance claims.

Patient & Insurance Support




Address patient billing inquiries and insurance-related disputes professionally and efficiently.
Maintain high standards of customer service while resolving financial concerns.

Compliance & Quality Assurance
Ensure all billing operations comply with healthcare regulations, insurance contracts, privacy laws, and organizational policies.
Conduct periodic audits to ensure billing accuracy and regulatory compliance.

Requirements & Qualifications

Education
Bachelors degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.

Experience
5 to 10 years of experience in medical billing, hospital billing, or healthcare revenue cycle management.
Prior supervisory or team leadership experience preferred.

Technical Knowledge
Solid understanding of medical terminology and other applicable systems.
Familiarity with hospital billing software

📌 Job Opening For Billing Position Pune
🏢 Ruby Hall Clinic (RHC)
📍 Pune