Hospital Billing Sr. Executive – Hyderabad

Department: Cash & Insurance Billing

Job Title: Senior Executive – Hospital Billing

Location: Hyderabad, Telangana

Reporting To: Billing Manager / Assistant Manager – Billing

Experience: 3–5 years in hospital billing

Qualification: Any Graduate, preferably B.Com, BBA, Hospital Administration, or Healthcare Management.

This is structured around hospital billing responsibilities commonly required in Hyderabad hospitals, including IPD/OPD billing, insurance and TPA coordination, discharge billing, and revenue cycle management. raosentcare.com

1. Job Purpose

The Hospital Billing Sr. Executive is responsible for managing daily billing operations, ensuring accurate and timely preparation of patient bills, coordinating with insurance companies and Third-Party Administrators (TPAs), monitoring outstanding payments, and facilitating smooth patient admission and discharge processes. The position ensures billing accuracy, proper documentation, compliance with hospital policies, and improved revenue collection.
1. Key Responsibilities

A. Hospital Billing Operations

- Supervise and manage daily IPD, OPD, emergency, cash, credit, and corporate billing activities.
- Prepare and verify interim bills and final bills for admitted patients.
- Ensure accurate billing of room rent, doctor consultations, investigations, procedures, OT charges, pharmacy, consumables, implants, and other hospital services.
- Verify patient details, billing entries, approved tariffs, packages, discounts, and concessions.
- Ensure all billable services are captured correctly in the Hospital Information System (HIS).
- Monitor billing accuracy and minimize billing errors and revenue leakage.

B. Insurance and TPA Billing

- Coordinate with insurance companies and TPAs for cashless approvals and claim processing.
- Ensure timely submission of pre-authorization requests, enhancement requests, and final bills.
- Verify insurance approvals,



policy limits, package rates, exclusions, and non-payable items.
- Follow up on pending approvals, claim queries, rejected claims, and outstanding insurance payments.
- Maintain complete documentation for insurance, reimbursement, and corporate billing.
- Coordinate with the insurance department to resolve billing discrepancies and claim-related issues.

C. Patient Discharge Management

- Ensure timely preparation and verification of final bills before discharge.
- Coordinate with nursing, pharmacy, laboratory, radiology, OT, and other departments to verify all charges.
- Ensure the collection of pending patient balances after insurance approval, wherever applicable.
- Explain billing details, deductions, non-payable items, and outstanding amounts to patients and their attendants.
- Monitor discharge turnaround time (TAT) and take corrective action to avoid unnecessary delays.

D. Revenue Cycle and Collection Management

- Monitor daily billing, collections, credit billing, and outstanding receivables.
- Follow up on pending payments from corporate clients, insurance companies, and TPAs.
- Reconcile daily billing transactions, receipts, refunds, and adjustments.
- Identify billing discrepancies and coordinate with the Finance Department for resolution.
- Prepare accounts receivable ageing reports and follow up on overdue accounts.
- Support revenue cycle improvement initiatives to improve collection efficiency.

E. MIS and Reporting

- Prepare daily, weekly, and monthly billing reports.
- Submit reports on total billing, collections, outstanding amounts,



pending claims, and rejected claims.
- Monitor billing errors, discharge delays, and claim settlement status.
- Maintain accurate billing records and supporting documents.
- Submit regular performance reports to the Billing Manager.

F. Team Coordination and Compliance

- Coordinate with doctors, nursing staff, pharmacy, diagnostics, front office, insurance, and finance teams.
- Guide billing executives and ensure adherence to established billing procedures.
- Handle escalated patient billing complaints professionally.
- Ensure compliance with hospital policies, approved tariffs, and insurance requirements.
- Maintain confidentiality of patient information and financial records.
- Support internal and external billing audits.

1. Educational Qualifications and Experience

- Graduate in any discipline; B.Com, BBA, Hospital Administration, or Healthcare Management preferred.
- Minimum 3–5 years of experience in hospital billing operations.
- Experience in a multispecialty or super-specialty hospital is preferred.
- Practical knowledge of IPD, OPD, cash, credit, corporate, insurance, and TPA billing.
- Experience in discharge billing, claim processing, and payment follow-up.
- Knowledge of hospital billing software and Hospital Information Systems (HIS/HMS).

1. Required Skills and Competencies

- Robust knowledge of hospital billing procedures.
- Good understanding of insurance and TPA processes.
- Proficiency in MS Excel and hospital billing software.
- Strong numerical, analytical, and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to manage multiple billing activities under time pressure.
- Strong attention to detail and accuracy.
- Good coordination and team management skills.
- Ability to handle patient complaints professionally.

Pay: ₹25,000.00 - ₹30,000.00 per month

Work Location: In person

📌 Senior Billing Executive (Lalaguda)
🏢 MY HEALTH HOSPITAL
📍 Lalaguda