Billing Executive

Designation: IP Billing Executive

Reports To: Billing Manager / Hospital Manager

Location: Maiya Multispeciality Hospital LLP

Job SummaryThe IP Billing Executive is responsible for accurately managing all inpatient billing activities from patient admission to final discharge. The role requires coordination with doctors, nursing, pharmacy, laboratory, radiology, insurance/TPA and other departments to ensure timely and accurate billing.

• Key ResponsibilitiesHandle complete IP admission, billing and discharge processes.
• Prepare and maintain interim and final inpatient bills.
• Post room rent, nursing, consultation, procedure, OT, ICU, laboratory, radiology, pharmacy and consumable charges accurately.
• Verify patient billing details and identify missed or incorrect charges.
• Coordinate with nursing, pharmacy, laboratory, radiology and other departments for pending charges.
• Handle cash, card, UPI and other payment collections and issue receipts.
• Maintain patient advances and adjust them correctly against final bills.
• Coordinate with Insurance/TPA departments for pre-authorisation, approvals and final settlement.
• Check insurance deductions, non-payable items and patient payable amounts.
• Coordinate for discharge clearance and ensure all pending billing formalities are completed.
• Handle refunds and billing corrections as per hospital policy and authorization.
• Prepare daily billing, collection, outstanding and discharge reports.
• Perform daily cash and billing reconciliation.
• Maintain proper billing records and patient documents.
• Address patient/attendant queries regarding bills in a polite and professional manner.
• Maintain confidentiality of patient and financial information.
• Follow hospital billing policies, SOPs and applicable statutory requirements.
• Perform other billing-related duties assigned by the management.
• Required SkillsGood knowledge of IP hospital billing procedures.
• Knowledge of Insurance and TPA billing processes.
• Basic understanding of medical terminology and hospital procedures.
• Experience with HIS/HMS hospital billing software.
• Good knowledge of MS Excel.
• Good numerical and accounting skills.
• Strong attention to detail and accuracy.
• Good communication and coordination skills.
• Ability to work under pressure and meet discharge timelines.
• Ability to work in shifts, including weekends/holidays when required.
• Educational QualificationMinimum PUC / 12th Pass; preferably B.Com, BBA, Hospital Administration, or related qualification.
• Hospital billing/insurance certification will be an added advantage.
• Experience1–3 years of experience in hospital IP billing preferred.
• Experience in a multispeciality hospital and handling Insurance/TPA patients will be an advantage.
• Freshers with relevant hospital billing knowledge may also be considered.
• Key Performance Indicators (KPIs)Billing accuracy
• Timely completion of discharge bills
• Reduction in missed charges
• Insurance/TPA documentation accuracy
• Daily cash reconciliation accuracy
• Reduction in billing complaints
• Timely collection of outstanding amounts
• Proper maintenance of billing records

Personal AttributesHonest | Responsible | Accurate | Patient-friendly | Good Communication | Team Player | Time-conscious | Detail-oriented