Job Summary
The IP & OP Billing Executive is responsible for accurate and timely billing for In-Patient (IP) and Out-Patient (OP) services. The role involves preparing bills, verifying patient and service details, coordinating with departments, handling payments, insurance/TPA documentation, and ensuring proper billing records as per hospital policies.
Key Responsibilities
- Prepare and process OP and IP patient bills accurately and on time.
- Verify patient registration, admission, discharge, service and tariff details before billing.
- Generate bills for consultation, procedures, investigations, pharmacy, room charges, nursing charges and other hospital services.
- Maintain accurate billing records and supporting documents.
- Coordinate with doctors, nursing, pharmacy, laboratory, radiology and other departments for billing-related information.
- Verify package charges, discounts, concessions and approvals as per hospital policy.
- Handle cash, card, UPI and other approved payment transactions and issue receipts.
- Prepare final IP bills at the time of patient discharge.
- Verify advance payments and adjust them against the final bill.
- Coordinate with the Insurance/TPA desk for cashless and reimbursement-related billing requirements.
- Ensure proper documentation for insurance and TPA claims.
- Identify and resolve billing discrepancies in coordination with concerned departments.
- Handle patient and attendant queries regarding bills and payment details professionally.
- Maintain confidentiality of patient and financial information.
- Prepare daily billing, collection and pending-payment reports.
- Follow hospital SOPs, billing procedures and financial policies.
- Ensure compliance with applicable hospital billing and documentation requirements.
- Support internal and external audits by providing required billing documents.
- Perform other billing-related duties assigned by the reporting manager.
Required Skills & Qualifications
- Graduate in B.Com / BBA / Finance / Accounting or equivalent qualification.
- 1–3 years of experience in hospital billing/IP & OP billing preferred.
- Knowledge of hospital billing software/HMIS.
- Basic knowledge of insurance and TPA billing processes.
- Good knowledge of MS Office, particularly Excel.
- Good numerical and accounting skills.
- Strong attention to detail and accuracy.
- Good communication and interpersonal skills.
- Ability to work in shifts, including weekends/holidays if required.
- Ability to handle patients and attendants politely and professionally.
Key Performance Indicators (KPIs)
- Billing accuracy and error-free billing.
- Timely completion of IP discharge billing.
- Accuracy of OP billing and collections.
- Proper documentation of insurance/TPA claims.
- Reduction of billing discrepancies.
- Timely submission of daily billing and collection reports.
- Compliance with hospital billing SOPs.
Preferred Experience
Experience in a hospital, nursing home, multispecialty hospital or healthcare organization in IP/OP billing, insurance or TPA coordination will be an added advantage.
Pay: ₹15,000.00 - ₹20,000.00 per month
Benefits:
Education:
- Higher Secondary(12th Pass) (Preferred)
Experience:
Language:
- English,kannada (Preferred)
Shift availability:
Work Location: In person
