1. Revenue Cycle Management:

Oversee and manage the hospital's entire revenue cycle, including patient registration, charge capture, claims submission, payment posting and collections.

2. Claims Management:

Supervise the claims submission and processing process to ensure accuracy, compliance with regulations and timely reimbursement.

3. Insurance Verification:

Coordinate with the insurance department to verify patients' insurance coverage, perks and eligibility to facilitate accurate billing and claims submission.

4. Billing and Invoicing:

Ensure that billing procedures are accurate, timely and in compliance with regulatory requirements. Supervise the billing team to review, process and submit claims.

5. Denial Management:

Develop strategies for reducing claims denials and rejections and work to resolve issues promptly to facilitate claim resubmission.

6. Collections:

Manage the collections process, including overseeing the work of collection agents and working on patient payment arrangements, where necessary.

7. Financial Analysis:





Analyze financial data and key performance indicators to identify areas for improvement and develop strategies to maximize revenue recovery.

8. Reporting:

Prepare and present regular financial and revenue cycle reports to the hospital's leadership, highlighting areas that need attention and offering recommendations for improvement.

9. Compliance and Regulations:

Ensure that all revenue recovery practices adhere to healthcare regulations, coding guidelines and billing compliance standards, including HIPAA and other relevant laws.

10. Customer Service:

Interact with patients, insurance companies and other stakeholders to address inquiries, concerns and disputes related to billing and claims.

11. Continuous Process Improvement:

Identify opportunities for streamlining and improving revenue recovery processes and work collaboratively with other hospital departments to implement enhancements

Role & responsibilities

Preferred candidate profile

📌 Opening For Executive-Recovery (Pune)
🏢 Jehangir Hospital
📍 Pune