Billing Executive

Shankar Super Speciality Hospital

Talaghattapura, Bengaluru/Bangalore

₹20,000 - ₹30,000 monthly*

Fixed

₹20000 - ₹25000

Average Incentives*

₹5,000

Earning Potential

₹30,000

You can earn more incentive if you perform well

Work from Office

Full Time

Min. 5 years

Good (Intermediate / Advanced) English

Job Details

Interview Details

Job highlights

48 applicants

Job Description

Hospital Billing Manager – Roles & Responsibilities1. Billing Operations ManagementOversee daily billing processes for outpatient (OPD), inpatient (IPD), diagnostics, pharmacy, and surgical departments.
Ensure all services rendered are accurately billed to patients or third-party payers.
Implement standard operating procedures (SOPs) for billing workflows.
2. Insurance & TPA CoordinationLiaise with insurance companies and TPAs (Third Party Administrators) to process claims.
Ensure pre-authorizations, claim submissions, and reimbursements are handled efficiently.
Monitor denied claims and coordinate re-submissions or justifications.
3. Cash Flow and Revenue ManagementTrack payments received and pending from patients and insurance.
Manage cash collections, deposits, refunds, and daily reconciliation.
Prepare and present daily revenue and collection reports to management.
4. Compliance & Audit ReadinessEnsure compliance with hospital policies, statutory regulations, and insurance norms.
Maintain documentation for audits and inspections (internal, government, insurance).
Collaborate with internal/external auditors during periodic checks.
5. Patient Communication & SupportHandle billing queries and disputes from patients or attendants.
Ensure transparency in billing and provide counseling on packages and payment options.
Coordinate with patient relations or front desk teams to ensure billing clarity.
6. System & Software ManagementOperate and manage Hospital Information Systems (HIS) or billing software.
Monitor entries for errors, duplication, or fraud.
Coordinate with IT or vendors for system issues or upgrades.
7. Team ManagementSupervise billing clerks, cashiers, and TPA executives.
Allocate responsibilities, monitor performance, and conduct periodic training.
Ensure shifts are covered and work is distributed efficiently.
8. Reporting & AnalyticsGenerate daily, weekly, and monthly reports related to revenue, outstanding payments, insurance claims, etc.
Analyze data to identify trends, discrepancies, or opportunities to improve revenue cycles.
9. Coordination with Other DepartmentsWork closely with admissions, discharge, pharmacy, diagnostics, and medical records departments to ensure data accuracy.
Ensure prompt discharge processing with final bill clearance.
10. Escalation ManagementHandle escalated cases of billing disputes, fraud detection, or miscommunication.
Implement corrective measures and improve workflows to avoid recurrence.