HOSPITAL INSURANCE CUM BILLING EXECUTIVE

Organization: MV Hospital for Diabetes

Department: Billing / Insurance

Location: Royapuram, Chennai 600013

Position: Hospital Insurance Cum Billing Executive

Duty Timing: Rotational Shifts 7am-4pm 10am-7pm 12pm-9pm

Male candidates preferred

Job Summary

We are looking for a responsible and detail-oriented Hospital Insurance Cum Billing Executive to handle both Inpatient (IP) and Outpatient (OP) billing, insurance coordination, claim processing, and patient billing support.

Qualification

- Any Degree or B.Com is preferred.
- Hospital billing, medical insurance, or healthcare administration certification will be an added advantage.
- Experience in hospital IP/OP billing and insurance claims is preferred.
- Freshers with relevant qualifications and good communication skills may also apply.

Key Responsibilities 1. OP Billing (Outpatient)

- Prepare and process outpatient bills accurately.
- Generate bills for consultations, investigations, procedures, and other services.
- Collect payments through cash, card, UPI, and other approved payment methods.
- Verify patient details and billing information.
- Handle billing enquiries and coordinate with the OP department.

2. IP Billing (Inpatient)

- Prepare and maintain inpatient billing records.
- Monitor patient bills, including consultation charges, investigations, procedures, pharmacy, and other services.
- Verify charges and ensure accurate bill preparation.
- Coordinate with wards, nursing staff,



pharmacy, and other departments for billing updates.
- Prepare final bills at the time of patient discharge.

3. Insurance and TPA Coordination

- Verify patient insurance details and policy documents.
- Coordinate for cashless pre-authorisation and approval.
- Check insurance eligibility, coverage, and policy limits.
- Prepare and submit insurance claims with the required supporting documents.
- Follow up with insurance companies and Third-Party Administrators (TPAs) regarding claim approvals and settlements.
- Assist with query resolution, claim discrepancies, and rejected claims.
- Maintain insurance records and track pending claims.

4. General Responsibilities

- Maintain accurate billing and insurance documentation.
- Ensure confidentiality of patient and financial information.
- Coordinate with the Finance and Accounts departments for billing reconciliation.
- Follow hospital billing policies and standard operating procedures.
- Provide courteous support to patients and their families.

Required Skills
- Knowledge of hospital IP and OP billing procedures.
- Understanding of health insurance, cashless claims, and TPA processes.
- Basic computer knowledge and MS Excel skills.
- Positive communication and coordination skills.
- Attention to detail and accuracy in financial transactions.
- Ability to work in rotational shifts.

Duty Timings Rotational Shifts as per hospital

Preferred candidate profile

📌 Billing Executive (Chennai)
🏢 M V Hospital
📍 Chennai