The incumbent will be responsible for managing OPD/IPD billing, cash billing, corporate billing, insurance/TPA billing, discharge billing, collections, reconciliations, billing audits and revenue cycle processes, while ensuring a high level of patient service and compliance.

Key Responsibilities

- Manage and oversee the complete OPD, IPD, Emergency and Procedure billing operations.
- Ensure accurate and timely preparation of interim and final bills and smooth discharge billing.
- Verify charges relating to consultations, procedures, room rent, diagnostics, pharmacy, consumables, packages and other hospital services.
- Monitor cash, credit, corporate, insurance and TPA billing processes.
- Coordinate with Insurance/TPA teams for pre-authorizations, cashless approvals, claim submissions, queries and settlements.
- Monitor pending bills, unbilled revenue, deductions, denials, refunds and outstanding receivables.
- Ensure timely follow-up and resolution of insurance/TPA claims and billing discrepancies.
- Identify and control billing errors, revenue leakages, unauthorized discounts and missed charges.
- Review and approve complex, high-value and disputed bills as per hospital policy.
- Coordinate with Front Office, Nursing, Doctors, Pharmacy, Laboratory, Radiology, Finance/Accounts and Insurance/TPA teams for smooth billing operations.
- Ensure proper reconciliation of billing, collections and financial transactions.
- Handle and resolve patient/attendant billing-related escalations professionally.
- Prepare and submit daily, weekly and monthly billing MIS and revenue reports to management.
- Monitor departmental targets and key performance indicators related to billing, collections,



discharge TAT and revenue realization.
- Lead, train, motivate and evaluate the performance of the billing team.
- Prepare staff duty rosters and ensure adequate manpower coverage across shifts.
- Conduct regular billing audits and process reviews and initiate corrective/preventive actions.
- Ensure adherence to hospital policies, tariff structures, insurance/TPA guidelines and applicable statutory/compliance requirements.
- Support internal and external audits by providing accurate billing records and documentation.
- Drive continuous improvement initiatives to improve billing accuracy, revenue realization, turnaround time and patient satisfaction.

Experience: 5–10 years in Hospital Billing, with minimum 2–3 years in a managerial/supervisory role Qualification: B.Com / M.Com / MBA – Hospital Administration / Finance / Healthcare Management or equivalent

Required Skills & Competencies

- Strong knowledge of Hospital Billing and Revenue Cycle Management.
- Excellent understanding of IPD billing and discharge processes.
- Hands-on experience in Insurance, TPA, Corporate and Cash billing.
- Knowledge of cashless and reimbursement processes.
- Strong understanding of claim deductions, denials and reconciliation.
- Positive knowledge of Hospital Information System (HIS/HMIS) and billing software.
- Proficiency in MS Excel and MIS reporting.
- Strong analytical, problem-solving and decision-making skills.
- Excellent communication and interpersonal skills.

Job Type: Full-time Pay: ₹60,000.00 - ₹75,000.00 per month

Benefits

- Health insurance
- Leave encashment
- Paid sick time
- Paid time off
- Provident Fund

Work Location: In person

📌 Manager Billing (Chanda Nagar)
🏢 PRK Hospital
📍 Chanda Nagar