Billing Executive

Job Description (JD) – IP Billing Executive & Patient CoordinationDesignation: IP Billing Executive & Patient Coordinator

Department: Billing / Operations

Reports To: Billing Manager / Hospital Administrator

Experience: 2–5 Years in Hospital IP Billing and Patient Coordination

Location: Maiya Multispeciality Hospital LLP

Job SummaryThe IP Billing Executive & Patient Coordinator is responsible for managing end-to-end inpatient billing, patient counseling, treatment estimation, consultant coordination, OT scheduling, insurance and implant approvals, and ensuring a smooth patient journey from admission to discharge. The role requires strong communication, billing accuracy, and coordination with clinical and administrative departments.

• Key Responsibilities1. In-Patient (IP) Billing ManagementPrepare accurate interim and final discharge bills.
• Verify charges related to room rent, pharmacy, laboratory, radiology, procedures, and consultant visits.
• Ensure timely bill updates during patient stay.
• Process cash, card, UPI, insurance, and corporate payments.
• Coordinate with departments to avoid billing discrepancies.
• Generate daily billing reports and MIS reports.
• 2. Patient Counseling & Cost EstimationCounsel patients and attendants regarding treatment plans, packages, and expected expenses.
• Prepare and explain treatment estimates before admission and procedures.
• Obtain patient consent and financial approvals.
• Address patient queries related to billing and hospital services.
• 3. OT Scheduling & Procedure CoordinationCoordinate OT scheduling with surgeons, anesthetists, nursing teams, and OT staff.
• Ensure availability of operation theatres and required resources.
• Schedule elective and emergency procedures efficiently.
• Communicate procedure timings to patients and attendants.
• 4. Consultant CoordinationCoordinate with consultants regarding admissions, procedures, rounds, and discharge planning.
• Ensure consultant orders are communicated to concerned departments.
• Maintain consultant visit records for billing purposes.
• Facilitate smooth communication between consultants and patients.
• 5. Insurance, TPA & Corporate CoordinationProcess insurance pre-authorizations and enhancement requests.
• Coordinate with TPAs and insurance companies for approvals.
• Verify policy coverage and patient eligibility.
• Ensure timely submission of documents for claim processing.
• 6. Implant & Consumable Approval ManagementCoordinate implant quotations and approvals.
• Obtain patient and insurance approval for implants and high-value consumables.
• Maintain records of implant utilization and supporting documents.
• Coordinate with stores and OT teams for implant availability.
• 7. Patient Care CoordinationAct as a single point of contact for admitted patients and their families.
• Facilitate admission, transfer, procedure scheduling, and discharge processes.
• Ensure high patient satisfaction through proactive communication.
• Handle patient concerns and escalate issues appropriately.
• 8. Discharge PlanningCoordinate discharge documentation with doctors and nursing staff.
• Ensure completion of billing and clearance processes.
• Arrange discharge summaries and necessary records.
• Minimize discharge turnaround time.
• Required SkillsTechnical SkillsIP Billing & Discharge Billing
• Hospital Information System (HIS)
• Medical Insurance & TPA Processing
• Cost Estimation & Package Billing
• Medical Terminology Knowledge
• MS Excel and MS Office
• Documentation Management
• Revenue Cycle Management
• Coordination SkillsOT Scheduling
• Consultant Coordination
• Patient Counseling
• Insurance Coordination
• Implant Approval Management
• Interdepartmental Coordination
• Soft SkillsExcellent Communication Skills
• Patient Relationship Management
• Negotiation & Counseling Skills
• Problem-Solving Ability
• Attention to Detail
• Time Management
• Teamwork & Leadership
• Professional Conduct and Confidentiality
• Key Performance Indicators (KPIs)Billing Accuracy Rate
• Timely Discharge Processing
• Patient Satisfaction Score
• Insurance Approval Turnaround Time
• OT Scheduling Efficiency
• Reduction in Billing Discrepancies
• Successful Implant Approval Rate
• Revenue Collection Efficiency
• Preferred QualificationsBachelor's Degree in Healthcare Management, Commerce, or Administration.
• Certification in Hospital Administration or Medical Billing (preferred).
• Experience in NABH-accredited hospitals is an added advantage.
• Additional ResponsibilitiesSupport NABH documentation and quality initiatives.
• Coordinate with marketing and referral teams for procedure conversions.
• Follow up on pending approvals, estimates, and discharge collections.
• Maintain confidentiality of patient and hospital information at all times.