20 Sep
|
MAHI HOSPITAL
|
India
20 Sep
MAHI HOSPITAL
India
The Billing Incharge is responsible for managing billing operations along with insurance processing, ensuring accurate invoicing, timely claim submissions, and productive coordination with insurance providers. The role focuses on minimizing claim rejections and maintaining compliance with financial and insurance regulations.
Key Responsibilities:Billing Duties:
- Prepare and process invoices for services/products
- Verify billing details such as rates, quantities, taxes, and discounts
- Ensure timely and accurate billing to patients, clients, or customers
- Maintain proper billing records and documentation
- Coordinate with accounts and operations teams for billing accuracy
- Generate billing reports and track revenue
Insurance Responsibilities:
- Handle insurance claim processing (cashless and reimbursement cases)
- Verify patient/customer insurance eligibility and coverage
- Coordinate with insurance companies/TPAs for approvals and claim status
- Submit pre-authorization requests and required documents
- Follow up on pending, rejected, or partially approved claims
- Analyze and resolve claim denials or discrepancies
- Maintain records of all insurance transactions and communications
Coordination & Compliance:
- Liaise with internal departments (front office, accounts, medical/admin teams)
- Ensure compliance with insurance policies, company rules, and legal requirements
- Train or supervise billing/insurance staff (if applicable)
- Improve billing and claim processes to reduce delays and errors
Required Skills & Qualifications:
- Bachelor’s degree in Commerce, Finance, Healthcare Administration, or related field
- 2–5 years of experience in billing and insurance handling
- Knowledge of insurance procedures, claims processing, and documentation
- Familiarity with GST and accounting basics
- Proficiency in billing software, ERP systems (e.g., Tally, hospital software), and MS Excel
- Strong analytical and problem-solving skills
- Good communication skills for dealing with insurance companies and clients
Preferred Qualifications:
- Experience in hospital/healthcare billing and medical insurance claims
- Knowledge of TPA processes and cashless claim systems
- Prior team handling experience
Key Performance Indicators (KPIs):
- Accuracy of billing
- Turnaround time for claim processing
- Claim approval rate / rejection reduction
- Timely collections and outstanding follow-ups
Pay: ₹30,000.00 - ₹35,000.00 per month
Benefits:
- Paid time off
- Provident Fund
Work Location: In person
📌 Billing Incharge (India)
🏢 MAHI HOSPITAL
📍 India