12 Oct
|
Ruby Hall Clinic (RHC)
|
Pune
12 Oct
Ruby Hall Clinic (RHC)
Pune
Role & responsibilities
- Revenue Cycle Management (RCM): Oversee end-to-end billing operations for Inpatient Department (IPD), Outpatient Department (OPD), diagnostics, and surgical procedures.
- Insurance & TPA Coordination: Manage cashless and reimbursement claims, coordinate with insurance desks/TPAs, and handle claim settlements or rejections.
- Revenue Leakage Prevention: Monitor daily billing reports, audit charge entries, and eliminate discrepancies or missed services.
- Accounts Receivable & Collections: Track aging receivables, drive timely payment collection, manage patient/corporate refunds, and reduce Days Sales Outstanding (DSO).
- Team Leadership: Supervise, train, and evaluate billing managers, cashiers, and billing executives across shifts.
- Auditing & Compliance: Ensure adherence to hospital tariffs, discount policies, statutory regulations, and internal/external audits.
- Cross-Departmental Liaison: Work closely with Finance, Accounts, Medical Records, and Clinical Operations teams for smooth reconciliation
Preferred candidate profile
- Education: Graduate or Post-Graduate degree in Commerce, Finance, Business Administration (MBA), or Healthcare Management.
- Experience: Typically 15 to 20+ years of progressive experience in hospital or healthcare revenue cycle management, with leadership experience.
- Technical Skills:
- Proficiency in Hospital ERP/HIS (Hospital Information Systems) and billing software.
- Advanced MS Excel capabilities for financial reporting and data analysis.
- Sound knowledge of medical coding concepts (CPT, ICD) and insurance/TPA norms.
📌 Job Opening For Billing Head Position with Ruby Hall Clinic - Pune
🏢 Ruby Hall Clinic (RHC)
📍 Pune