1. 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.

1. 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.

1. 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.

1. Educational Qualification

- Any Graduate

1. 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 Ranthambore Sevika Hospital, Sawai Madhopur
📍 Nagar