We are looking for an experienced Senior Billing Manager to oversee the hospital billing operations, ensure accurate and timely billing, manage insurance/TPA and corporate billing, and ensure effective revenue collection and reconciliation.
Key Responsibilities
- Manage the complete hospital billing and revenue cycle process.
- Supervise and guide the billing team and allocate daily responsibilities.
- Ensure accurate billing for IPD, OPD, OT, ICU, diagnostics, pharmacy, and other hospital services.
- Monitor cash, credit, TPA, insurance, and corporate billing.
- Review and verify bills before final submission.
- Handle TPA/insurance claims, pre-authorizations, claim submissions, queries, and rejections.
- Coordinate with doctors, nursing, pharmacy, laboratory, OT, accounts, and administration for billing-related matters.
- Monitor outstanding payments, pending claims, deductions, and settlements.
- Follow up on rejected and disputed claims and ensure timely resolution.
- Prepare daily, weekly, and monthly billing and collection reports.
- Reconcile billing collections with accounts and bank records.
- Identify billing errors, revenue leakages, and discrepancies and take corrective action.
- Ensure compliance with hospital policies, insurance/TPA requirements, and applicable regulations.
- Handle patient and corporate/insurance billing queries professionally.
- Train and evaluate billing staff and improve team performance.
- Maintain proper documentation and ensure confidentiality of patient and financial information.
- Coordinate with management regarding billing performance, revenue, collection, and pending receivables.
Required Qualifications & Experience
- Graduate degree in Commerce, Finance, Healthcare Management, or a related field.
- 5–8 years of experience in hospital billing, preferably with managerial/senior-level experience.
- Strong knowledge of hospital billing, TPA, insurance, cashless, corporate billing, and claim processing.
- Good knowledge of MS Excel and hospital billing/HIS software.
- Strong communication, analytical, leadership, and problem-solving skills.
Key Performance Indicators (KPIs)
- Billing accuracy and timely bill closure.
- Claim submission and settlement turnaround time.
- Reduction in claim rejections and deductions.
- Outstanding and receivables collection.
- Revenue leakage control.
- Team productivity and billing efficiency.
- Patient/TPA/corporate query resolution.
Pay: ₹40,000.00 - ₹50,000.00 per month
Benefits:
- Cell phone reimbursement
- Food provided
- Provident Fund
Work Location: In person
