Shri Sai Hospital is looking for an experienced IPD Billing Executive responsible for managing the complete inpatient billing process, including interim and final bill preparation, discharge billing, payment collection, reconciliation, TPA/insurance coordination, and resolution of patient billing queries. The candidate should have strong hands-on experience in hospital billing operations and hospital management/billing software. These responsibilities are consistent with current hospital IPD billing roles, which commonly emphasize accurate charge capture, discharge finalization, interdepartmental coordination, and TPA/insurance handling.
1. IPD Billing & Bill Finalization
- Prepare accurate interim and final IPD bills as per hospital tariff and applicable packages.
- Ensure proper billing of room rent, nursing charges, doctor visits, procedures, OT charges, investigations, pharmacy, consumables and other hospital services.
- Verify all charges before finalization and identify missing, duplicate or incorrect entries.
- Ensure timely completion of discharge billing within the defined TAT.
- Prepare estimates and provide regular bill/advance updates to patients and attendants.
2. Departmental Coordination
- Coordinate with Nursing, Pharmacy, Laboratory, Radiology, OT, Doctors, Front Office and Accounts for complete and accurate charge posting.
- Verify services provided against patient records, treatment sheets and charge slips.
- Follow up on pending entries and resolve billing discrepancies before discharge.
3. TPA & Insurance Coordination
- Coordinate with the TPA/Insurance Desk for cashless and insured patients.
- Verify insurance approvals, package eligibility, coverage limits, deductions and non-payable items.
- Support pre-authorization, enhancement and final approval processes.
- Ensure required billing documents are complete and available for claim processing.
4. Payment & Collection Management
- Collect patient advances and outstanding amounts as per hospital policy.
- Handle cash, card, UPI and other authorized payment modes.
- Generate receipts and maintain proper payment records.
- Reconcile daily collections and report discrepancies to the concerned senior.
- Process refunds/adjustments only after obtaining the required approvals.
5. Discharge Coordination
- Coordinate with the concerned departments for timely discharge clearance.
- Ensure all pending charges are posted before final bill generation.
- Communicate the final payable amount clearly to patients/attendants.
- Coordinate with the TPA team for final approval and collection of balance amount, wherever applicable.
6. Reports & Documentation
- Maintain daily IPD billing, collection, pending payment and discharge reports.
- Maintain proper billing files, receipts, approvals and supporting documents.
- Assist in internal/external audits and provide required billing records.
- Maintain confidentiality of patient and financial information.
7. Patient Service
- Handle patient and attendant queries related to bills, payments, estimates and deductions professionally.
- Explain billing details clearly and politely.
- Resolve routine billing issues and escalate complex disputes to the Billing Manager/Finance Manager.
- Graduate in B.Com / BBA / Hospital Administration / Finance or any relevant discipline.
- Diploma/Certification in Hospital Administration, Medical Billing or Healthcare Management will be an added advantage.
- 3–5 years of relevant experience in IPD billing in a hospital.
- Strong hands-on experience in final billing and discharge processes.
- Experience with TPA/Insurance billing will be preferred.
- Experience with Hospital Information System (HIS/HMS) or hospital billing software is essential.
- Strong knowledge of IPD billing procedures
- Hospital billing software/HIS knowledge
- TPA and insurance billing knowledge
- Excellent numerical accuracy
- Cash handling and reconciliation
- MS Excel and basic computer skills
- Good communication and patient-handling skills
- Strong coordination and follow-up ability
- Attention to detail
- Ability to work under pressure and meet discharge TAT
- Key Performance Indicators (KPIs)
- Accuracy of IPD bills
- Timely finalization of discharge bills
- Reduction in billing errors and revenue leakage
- Timely collection of patient dues
- Accuracy of daily cash reconciliation
- TPA/insurance documentation accuracy
- Reduction in discharge billing delays
- Patient satisfaction regarding billing services
Pay: ₹20,000.00 - ₹25,000.00 per month
Work Location: In person
