JOB DESCRIPTION Hospital Billing Executive Department: Billing & Accounts Location: Raipur, Chhattisgarh Employment Type: Full-Time Reporting To: Hospital Administrator / Billing Manager About the Role We are looking for a Hospital Billing Executive responsible for accurate and timely billing of patients across cash, TPA/insurance and government health schemes, while ensuring proper documentation, coordination and collection of payments. The ideal candidate should have good knowledge of hospital billing processes, attention to detail, and the ability to coordinate effectively with patients, doctors, nursing staff, insurance/TPA teams and the accounts department. Key Responsibilities 1. Patient Billing - Prepare accurate inpatient and outpatient bills. - Generate admission, interim and final discharge bills. - Ensure all services, procedures, medicines, consumables, investigations and professional charges are correctly captured. - Verify billing against doctor orders, nursing records, OT records and investigation reports. - Collect payments and issue receipts as per hospital policy. - Handle refunds, cancellations and billing corrections with proper authorization. 2. Insurance / TPA Billing - Prepare insurance/TPA patient bills and supporting documents. - Coordinate with the TPA/insurance desk for approvals and queries. - Ensure pre-authorisation, enhancement and final-approval documentation is complete. - Coordinate with medical and nursing teams for timely submission of required documents. - Track pending approvals, deductions and settlement status. - Identify and escalate potential claim deductions/rejections. 3.



Government Scheme / Ayushman Billing - Handle billing and documentation related to PMJAY/Ayushman and other government schemes. - Ensure package selection and billing are as per applicable scheme guidelines. - Coordinate with the Ayushman/operator team for pre-authorisation and claim documentation. - Maintain proper records of submitted and pending claims. 4. Discharge Billing - Prepare discharge bills accurately and within the required timeline. - Ensure all pending investigations, medicines, procedures and consumables are accounted for before final billing. - Coordinate with nursing, pharmacy, OT and doctors for bill clearance. - Explain the final bill to patients/attendants professionally when required. 5. Cash & Collection Management - Collect cash, UPI, card and other approved payment modes. - Maintain daily collection records. - Reconcile billing-system collections with actual cash/online collections. - Deposit/hand over collections according to hospital procedures. - Immediately report discrepancies to the concerned senior. 6. Documentation & Records - Maintain complete billing files and supporting documents. - Ensure patient billing records are accurate and properly filed. - Maintain records of outstanding amounts, refunds, deductions and pending claims. - Assist accounts team during reconciliation and audits.



Required Skills - Good understanding of hospital billing and revenue-cycle processes. - Basic knowledge of TPA/insurance and Ayushman/PMJAY billing. - Good Excel and computer skills. - Robust numerical and reconciliation skills. - Attention to detail. - Good communication and patient-handling skills. - Ability to work under pressure, particularly during patient discharge. - Honest, responsible and comfortable handling financial transactions. Educational Qualification - Graduate preferred. - Candidates with a background in Hospital Administration, Commerce, Accounts or Healthcare Management will be preferred. Experience - 1–3 years of experience in hospital billing preferred. - Experience with TPA/insurance/Ayushman billing will be an advantage. - Freshers with strong accounting/computer skills may also be considered. Key Performance Indicators (KPIs) - Billing accuracy - Timeliness of discharge billing - Collection accuracy - Reduction in billing errors and missed charges - Timely submission of insurance/TPA/Ayushman claims - Reduction in claim deductions/rejections - Daily billing and collection reconciliation - Patient satisfaction with billing process Working Hours As per hospital shift requirements. Willingness to work rotational shifts, including weekends/holidays, is required. Candidate Profile We are looking for someone who is accurate, accountable, proactive and comfortable taking ownership of the complete billing process rather than simply generating bills.

Pay: ₹8,000.00 - ₹15,000.00 per month

Benefits:

- Provident Fund

Experience:

- Medical billing: 1 year (Preferred)

Work Location: In person

📌 Billing Executive (Raipur)
🏢 RoopJeevan Hospital
📍 Raipur