Job Description – CGHS Executive

Organization: Guardian Hospital, Ambala Cantt

Job Title: CGHS Executive
Department: Billing
Reporting To: Hospital Administrator

Job Summary

The CGHS Executive will be responsible for managing CGHS patient documentation, billing, claims processing, beneficiary verification, and coordination with CGHS authorities to ensure smooth cashless treatment and timely reimbursement.

Key Responsibilities

- Verify CGHS beneficiary cards, referrals, approvals, and patient eligibility.
- Handle CGHS patient registration, admission, discharge, and billing documentation.
- Prepare and submit CGHS claims with all required supporting documents.
- Monitor pending claims, queries, deductions, and reimbursement status.
- Coordinate with CGHS offices, hospital departments, doctors, billing, and accounts teams.
- Ensure that treatment and billing are in accordance with applicable CGHS rates, guidelines, and hospital empanelment terms.
- Maintain accurate records of claims, approvals, correspondence, and audit documents.
- Follow up on claim objections and ensure timely submission of clarifications.
- Assist in CGHS empanelment documentation, renewals, inspections,



and compliance requirements.
- Prepare daily and monthly reports on billing, claims submitted, pending cases, and payments received.

Accountability

- Accuracy and completeness of CGHS documentation and claims.
- Timely submission and follow-up of claims.
- Reduction of claim rejections, deductions, and documentation errors.
- Proper maintenance of records and compliance with applicable guidelines.

Job Specifications

- Qualification: Graduate in any discipline; healthcare management or medical billing qualification preferred.
- Experience: 1–3 years in CGHS billing, TPA, medical claims, or hospital administration preferred. Freshers with relevant knowledge may apply.
- Skills: Knowledge of CGHS procedures, medical billing, documentation, MS Excel, email communication, and claim tracking.
- Location: Guardian Hospital, Ambala Cantt, Haryana.
- Employment Type: Full-time.

Pay: ₹10,000.00 - ₹30,000.00 per month

Advantages:

- Cell phone reimbursement
- Paid sick time
- Paid time off

Work Location: In person

📌 CGHS Executive (Ambala)
🏢 GUARDIAN HOSPITAL AMBALA CANTT
📍 Ambala