Billing Executive

Send CV over Mail and whats app. Walk in time 11:30am to 4:00pm. 3 Years Experience accepted depending on your capability.

Job Description: Inpatient (IP) Billing Executive / Senior IP Billing ExecutiveDepartment: Hospital Billing / Revenue Cycle Management (RCM)

Experience: 5 Years

Job Role: Senior IP Billing Executive

Industry: Healthcare / Hospital

Job SummaryResponsible for managing the end-to-end inpatient (IP) billing process, ensuring accurate bill preparation, timely discharge billing, insurance and TPA coordination, and compliance with hospital billing policies. The role involves coordinating with clinical departments, insurance teams, and patients to ensure smooth and timely bill settlement.

• Key ResponsibilitiesHandle end-to-end inpatient (IP) billing activities, from patient admission to final bill generation and discharge.
• Prepare and verify interim bills, final bills, and discharge bills accurately.
• Review patient billing details, including room charges, nursing charges, doctor consultation fees, pharmacy, investigations, procedures, implants, and other hospital services.
• Verify insurance eligibility, pre-authorization, and approval limits for insured patients.
• Coordinate with insurance companies and Third-Party Administrators (TPAs) for cashless approvals and claim-related queries.
• Handle cash, credit, insurance, corporate, and self-pay patient billing as applicable.
• Verify package rates, tariffs, discounts, deposits, advances, and billing adjustments according to hospital policies.
• Identify and resolve billing discrepancies, duplicate charges, missing entries, and service-related billing errors.
• Coordinate with doctors, nursing staff, pharmacy, laboratory, radiology, and other departments to ensure accurate charge capture.
• Ensure timely final billing and discharge clearance to minimize patient waiting time.
• Handle patient and attendant queries related to bills, deposits, refunds, and payment settlements.
• Prepare daily billing reports, pending discharge reports, outstanding reports, and other MIS reports.
• Monitor unbilled services, pending approvals, and billing-related revenue leakage.
• Maintain accurate billing records and ensure compliance with hospital policies, insurance requirements, and applicable regulations.
• Support internal and external audits and assist in resolving billing-related observations.
• Guide junior billing executives and support the team in resolving complex billing issues.
• Required Skills and QualificationsBachelor's degree in any discipline; healthcare, commerce, or hospital administration qualifications are preferred.
• Minimum 5 years of experience in hospital inpatient billing.
• Strong knowledge of IP billing workflows, hospital tariffs, package billing, and discharge procedures.
• Experience in insurance, TPA, and cashless billing processes.
• Good understanding of hospital information systems (HIS) and billing software.
• Proficiency in MS Excel and billing-related MIS reporting.
• Strong communication, coordination, analytical, and problem-solving skills.
• Ability to work under pressure and meet billing turnaround time (TAT) targets.
• Knowledge of NABH-related documentation and hospital billing procedures is an advantage.
• Key Performance Indicators (KPIs)Accuracy of inpatient bills.
• Timely completion of final bills and discharge billing.
• Reduction in billing errors and revenue leakage.
• Compliance with billing turnaround time (TAT).
• Reduction in pending approvals and unbilled services.
• Patient satisfaction and effective query resolution.
• Accuracy of daily reports and billing documentation.

Preferred Candidate: An experienced hospital IP Billing professional with strong knowledge of end-to-end inpatient billing, insurance coordination, final bill verification, and discharge management.