Requirements & Qualifications
Education : Degree in Accounting, Commerce, or Health Administration (preferred).
Experience : Minimum 2 years of experience in medical billing within a hospital setting.
Technical Skills : Proficiency in Hospital Information Systems (HIS) / Billing Software and MS Office (Excel).
Knowledge : Robust understanding of medical terminology, ICD-10, CPT codes, and insurance regulations.
Soft Skills : Excellent communication (English + Local Language), solid interpersonal skills, and ability to work under pressure.
Key Responsibilities
Billing & Invoicing : Prepare and generate accurate outpatient (OP) and inpatient (IP) bills based on treatment records,, investigations, pharmacy, and consumables.
Insurance & TPA : Handle cashless insurance cases, verify patient eligibility, and coordinate with Third Party Administrators (TPA)
for pre-authorization and final claim settlements.
Patient Counseling : Provide cost estimations, financial clearance, and interim bills to patients/attenders; explain final bills clearly.
Revenue Management : Ensure all services are billed before patient discharge and manage accounts receivable to minimize pending payments.
Compliance & Records : Maintain accurate billing records, ensure compliance with NABH standards and hospital policies, and maintain patient confidentiality.
Cash Handling : Manage daily cash/petty cash vouchers at the billing counter, ensuring zero variance.