: Senior Executive Billing (RCM)

Department: Billing / Revenue Cycle Management (RCM)

Experience: 3 to 8 Years

Industry: Healthcare / Hospital

Job Summary

We are looking for an experienced Senior Executive Billing (RCM) to manage hospital billing operations, revenue cycle activities, insurance and TPA coordination, claims processing, and payment follow-ups. The candidate will be responsible for ensuring accurate billing, timely claim submissions, minimizing revenue leakage, and maintaining compliance with hospital billing policies.

Key Responsibilities

- Manage end-to-end hospital billing operations, including IPD, OPD, emergency, and day-care billing.
- Handle Revenue Cycle Management (RCM) activities, from patient registration and billing to claim submission, payment reconciliation, and closure.
- Coordinate with insurance companies, TPAs, corporate clients, and government health schemes for cashless and reimbursement cases.
- Verify patient eligibility, insurance coverage, approvals, pre-authorizations, and required documentation.
- Ensure timely and accurate preparation and submission of insurance claims and supporting documents.
- Follow up on pending claims, payment delays, deductions, denials, and rejected claims.
- Identify reasons for claim denials and coordinate with concerned departments for corrective actions and resubmission.
- Monitor outstanding payments, ageing reports, unbilled cases, and accounts receivable.
- Reconcile bills, receipts, credit notes, adjustments, and payments received from insurance companies and corporate clients.
- Coordinate with clinical, medical records, front office, finance,



and insurance desks to resolve billing discrepancies.
- Ensure accurate application of hospital tariffs, package rates, discounts, and billing policies.
- Prepare daily, weekly, and monthly MIS reports on billing, collections, pending claims, denials, and receivables.
- Maintain proper documentation and ensure adherence to hospital policies, payer guidelines, and applicable regulatory requirements.
- Support internal and external audits related to billing, claims, and revenue cycle processes.

Educational Qualification

- Graduate in Commerce, Finance, Business Administration, or a related discipline.
- A postgraduate qualification in Healthcare Management or Hospital Administration will be an added advantage.

Required Skills and Competencies

- 3–8 years of relevant experience in hospital billing and Revenue Cycle Management (RCM).
- Solid knowledge of IPD, OPD, emergency, cashless, reimbursement, TPA, and corporate billing.
- Experience in insurance claims processing, denial management, payment follow-ups, and reconciliation.
- Proficiency in hospital information systems (HIS/HMIS) and MS Excel.
- Strong analytical, numerical, and problem-solving skills.
- Good communication, coordination, and stakeholder management abilities.
- Attention to detail, accuracy, and the ability to work under pressure.
- Ability to meet billing, claims submission, and collection timelines.

Preferred Candidate Profile Candidates with hands-on experience in the billing or RCM department of a multispecialty hospital will be preferred. Experience in insurance and TPA coordination, receivables management, and claim denial resolution is highly desirable.

📌 Senior Executive - Billing (RCM) (Gurugram)
🏢 Paras Health
📍 Gurugram