Position: Manager IP & OP Billing & Financial Counselling

Department: Billing / Revenue Cycle Management

Designation: Manager

Location: Nampally

Industry: Hospital / Healthcare

Reporting To: Unit Head / Hospital Administration / Finance Head

Job Summary

We are looking for an experienced and result-oriented Manager – IP & OP Billing & Financial Counselling to oversee hospital billing operations, revenue management, and financial counselling services. The role will be responsible for ensuring accurate and timely billing, effective coordination with clinical and non-clinical departments, smooth patient financial counselling, and adherence to hospital policies and statutory requirements.

The candidate should have strong knowledge of IP & OP billing, insurance/TPA processes, government schemes, cash billing, credit billing, financial counselling, collections, and revenue cycle management.

Key Responsibilities

1. IP & OP Billing Operations

- Manage and supervise day-to-day IP and OP billing operations.
- Ensure accurate and timely generation of patient bills.
- Monitor admission, discharge, interim and final billing processes.
- Ensure proper posting of services, procedures, pharmacy, investigations, implants and other chargeable items.
- Monitor billing errors, cancellations, refunds, discounts and adjustments.
- Ensure proper documentation and authorization for all billing transactions.
- Resolve billing-related issues and patient queries promptly.

1. Financial Counselling

- Lead the Financial Counselling team and ensure effective counselling of patients and attendants.
- Explain estimated treatment costs, packages, deposits, room charges and other financial requirements.
- Provide patients with clear information regarding treatment-related expenses.
- Counsel patients regarding available payment options, insurance/TPA coverage and applicable hospital schemes.
- Ensure timely communication of revised estimates in case of changes in treatment plans.
- Handle escalated financial concerns and support patient satisfaction.

1.



Insurance / TPA / Government Schemes

- Coordinate with Insurance and TPA teams for smooth claim processing.
- Monitor pre-authorizations, enhancements, approvals and final claim submissions.
- Ensure proper documentation and timely submission of claims.
- Monitor pending approvals, deductions, rejections and claim discrepancies.
- Coordinate with concerned departments for resolution of insurance/TPA issues.
- Ensure effective handling of applicable government and corporate schemes such as CGHS, EHS and other empanelled schemes, as applicable.

1. Revenue Cycle Management

- Monitor the complete billing and collection cycle from registration/admission to final settlement.
- Track outstanding amounts and ensure timely collection.
- Monitor credit patients, corporate accounts, insurance receivables and other outstanding balances.
- Analyze revenue leakage and implement corrective measures.
- Prepare and review daily, weekly and monthly billing and collection reports.
- Monitor key revenue and billing performance indicators.

1. Team Management

- Lead, supervise and motivate IP billing, OP billing and financial counselling teams.
- Allocate responsibilities and ensure adequate manpower coverage.
- Conduct regular team meetings and performance reviews.
- Identify training requirements and provide necessary guidance.
- Establish and monitor team productivity and quality standards.
- Ensure adherence to hospital SOPs and billing policies.

1. Coordination

- Coordinate closely with Doctors, Nursing, Front Office, Medical Records, Pharmacy, Diagnostics, OT, Finance, Insurance/TPA and Administration teams.




- Ensure timely communication between clinical and billing departments.
- Coordinate with doctors and clinical teams regarding package applicability, procedures and billing requirements.
- Support smooth discharge and settlement processes.

1. Audit & Compliance

- Ensure compliance with hospital billing policies, SOPs and applicable statutory requirements.
- Conduct regular billing audits to identify errors and revenue leakages.
- Ensure proper authorization for discounts, refunds, write-offs and adjustments.
- Maintain confidentiality and security of patient financial information.
- Support internal and external audits whenever required.

1. MIS & Reporting

Prepare and review regular reports including:
- IP Billing Revenue
- OP Billing Revenue
- Daily Collection Report
- Pending Billing Report
- Outstanding Report
- Insurance / TPA Pending Report
- Discharge Billing TAT
- Financial Counselling Conversion / Collection Report
- Discounts and Refunds Report
- Revenue Leakage / Billing Error Report
- Department-wise revenue performance

Key Performance Indicators (KPIs)
- Billing accuracy and error percentage
- IP & OP billing turnaround time
- Discharge billing TAT
- Collection efficiency
- Outstanding reduction
- Insurance/TPA claim submission TAT
- Reduction in claim rejections and deductions
- Financial counselling effectiveness
- Revenue leakage reduction
- Patient satisfaction related to billing
- Team productivity and manpower utilization

Eligibility & Experience
- Graduate / Postgraduate in Finance, Hospital Administration, Healthcare Management, Commerce or related field.
- 8–12 years of relevant experience in hospital billing / revenue cycle management, with managerial or supervisory experience.
- Strong experience in IP & OP Billing and Financial Counselling.
- Experience in a hospital workplace is mandatory/preferred.
- Good knowledge of Insurance, TPA, Corporate Billing and Government Schemes.
- Experience handling billing teams and coordinating with multiple hospital departments.

📌 Operations Manager (Nampally)
🏢 Aster DM Healthcare
📍 Nampally