Position: Billing Head

Department: Billing

Location: Echelon Hospital, Kopar Khairane, Navi Mumbai

Experience: 5–8 Years

Qualification: Graduate in any discipline; preference for candidates with a degree in Commerce, Finance, or Healthcare/Hospital Management.

Industry: Healthcare / Hospital

Job Summary The Billing Head will be responsible for managing the overall billing operations of the hospital, including IPD, OPD, emergency, and surgical billing. The role involves ensuring accurate and timely billing, monitoring revenue cycles, managing billing staff, coordinating with clinical and insurance departments, and ensuring compliance with hospital policies and billing procedures.

Key Responsibilities

1. Hospital Billing Operations

- Oversee daily billing operations for IPD, OPD, emergency, daycare, and surgical services.
- Ensure accurate preparation and finalization of patient bills.
- Monitor billing accuracy, charge capture, discounts, refunds, and adjustments.
- Ensure timely discharge billing and minimize billing-related delays.
- Verify that all services, investigations, procedures, and consumables are appropriately charged.

2. Insurance and TPA Coordination

- Coordinate with insurance companies, Third-Party Administrators (TPAs), and corporate clients.
- Ensure accurate preparation and submission of insurance bills and supporting documents.
- Coordinate with the Insurance and TPA teams regarding pre-authorizations, claim queries, and billing discrepancies.
- Monitor claim rejections, deductions, and pending documentation.

3. Team Management

- Supervise, train, and guide the billing team.
- Prepare duty rosters and allocate responsibilities to billing staff.
- Monitor staff productivity, accuracy, and performance.




- Ensure adherence to hospital billing policies and standard operating procedures (SOPs).

4. Revenue Cycle Management

- Monitor billing turnaround time, pending bills, and unbilled services.
- Coordinate with Accounts, Finance, Medical Records, Nursing, Pharmacy, and other departments.
- Identify revenue leakages and implement corrective measures.
- Prepare daily, weekly, and monthly billing reports for management.

5. Compliance and Process Improvement

- Ensure compliance with approved hospital tariffs, billing policies, and applicable regulatory requirements.
- Maintain proper billing records and documentation for internal and external audits.
- Handle patient billing queries and escalations professionally.
- Implement process improvements to enhance billing accuracy, efficiency, and patient satisfaction.

Required Skills
- Strong knowledge of hospital IPD and OPD billing processes.
- Experience in insurance, TPA, and corporate billing.
- Positive knowledge of hospital information systems (HIS/HMS) and billing software.
- Strong team management, analytical, and problem-solving skills.
- Excellent communication and coordination skills.
- Ability to work under pressure and manage high-volume billing operations.

Key Performance Indicators (KPIs)
- Billing accuracy and reduction in billing errors.
- Timely completion of discharge bills.
- Reduction in unbilled services and revenue leakage.
- Reduction in insurance billing discrepancies and claim rejections.
- Billing team productivity and operational efficiency.
- Patient satisfaction regarding billing services.

Pay: ₹60,000.00 - ₹75,000.00 per month

Benefits

- Health insurance
- Life insurance
- Paid sick time
- Provident Fund

Work Location: In person

📌 Billing Head - Hospital (Kopar Khairane)
🏢 Echelon Hospital
📍 Kopar Khairane