Billing Executive

IP Billing Roles & Responsibilities

• Manage and process Inpatient (IP) billing activities accurately and within defined timelines.
• Review patient records, billing documents, charge sheets, and supporting documents for completeness and accuracy.
• Prepare and verify patient bills based on hospital services, procedures, investigations, pharmacy, room charges, and other applicable services.
• Coordinate with hospital departments, insurance/TPA teams, doctors, nursing, pharmacy, and accounts to resolve billing-related discrepancies.
• Verify insurance/TPA authorizations, package rates, tariffs, and applicable billing guidelines before finalizing bills.
• Handle IP discharge billing, ensuring all services and consumables are captured before bill closure.
• Identify and resolve billing errors, duplicate charges, missing charges, and incorrect entries.
• Coordinate with the TPA/insurance desk for claim-related clarifications and documentation requirements.
• Ensure accurate application of discounts, packages, approvals, exemptions, and contractual rates as applicable.
• Follow up on pending billing cases, approvals, and documentation to ensure timely discharge and claim submission.
• Support the preparation and submission of insurance/TPA claims with accurate billing information and required supporting documents.
• Maintain proper records of billing transactions, corrections, and claim-related documentation.
• Monitor and follow established billing SOPs, hospital policies, and compliance requirements.
• Coordinate with the finance/accounts team for billing reconciliation and resolution of outstanding discrepancies.
• Assist in identifying recurring billing issues and recommend process improvements to improve billing accuracy and turnaround time.
• Maintain confidentiality of patient and billing information at all times.
• Generate and maintain relevant billing reports, MIS, and daily/periodic trackers as required.
• Handle billing-related queries from patients, attendants, internal teams, insurance companies, and TPAs professionally.
• Ensure timely escalation of complex billing, authorization, or claim-related issues to the appropriate stakeholders.

Pay: ₹25,000.00 - ₹35,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Work Location: In person