- Job Summary

We are looking for an experienced and detail-oriented Senior Executive – Credit to manage hospital credit billing, government healthcare schemes, claim processing, and payment follow-ups. The candidate should have hands-on experience with the RGHS system, Supernumerary (Supernumeri) scheme/system, hospital billing processes, and other government healthcare Yojana schemes. The role involves ensuring accurate billing, timely claim submission, documentation, reconciliation, and coordination with internal departments and scheme authorities.

- Key Responsibilities

- Manage credit billing operations for patients covered under RGHS and other government healthcare schemes.
- Handle the Supernumerary (Supernumeri) system/process, including billing, documentation, and claim-related activities, as applicable.
- Prepare, verify, and submit bills and claims as per the guidelines of the respective healthcare schemes.
- Ensure accurate patient billing, credit entries, and scheme-wise documentation.
- Verify patient eligibility, approvals, authorization letters, and supporting documents before claim submission.
- Monitor pending claims, outstanding payments, rejected claims, and deductions.
- Coordinate with insurance/TPA desks, government scheme departments, billing teams, medical records, and accounts teams.
- Follow up with concerned authorities for claim settlement and payment realization.
- Identify billing discrepancies and resolve claim queries, rejections, and short payments.
- Maintain scheme-wise records, claim registers,



outstanding reports, and reconciliation statements.
- Ensure compliance with hospital billing policies and applicable scheme guidelines.
- Prepare regular MIS reports related to billing, claims submitted, claims pending, collections, and outstanding credit.
- Support internal and external audits by maintaining complete and accurate billing documentation.

3. Required Skills & Competencies
- Practical knowledge of the RGHS portal and billing/claim process.
- Working knowledge of the Supernumerary (Supernumeri) system/process.
- Experience in hospital credit billing and government healthcare Yojana schemes.
- Understanding of claim submission, pre-authorizations, approvals, deductions, and settlement procedures.
- Knowledge of hospital billing software, HIS/HMS, and MS Excel.
- Robust follow-up, reconciliation, documentation, and problem-solving skills.
- Good communication and coordination skills.
- Ability to manage multiple claims and meet submission deadlines.

4. Educational Qualification
- Any Graduate

5. Experience Requirements
- 2–3 years of relevant experience in hospital credit billing, government scheme billing, or healthcare claims management.
- Candidates with hands-on experience in RGHS and other government healthcare schemes will be preferred.
- Experience in handling scheme-related documentation, billing reconciliation, and outstanding claim follow-ups is essential.

Pay: Up to ₹30,000.00 per month

Work Location: In person

📌 Sr. Executive - Credit (Nagar)
🏢 Apex Hospital, Malviya Nagar
📍 Nagar