Billing Executive

Role & responsibilities

• Bill Generation & Auditing

• Generate accurate OPD, IPD, emergency, and procedure bills using the Hospital Information System (HIS).

• Cross-verify charge sheets against services provided by wards, ICU, pharmacy, and diagnostic departments.

• Prepare interim and final discharge bills and audit them before presentation to the patient. [1, 2, 3, 4]

• Insurance, TPA & Cashless Claims

• Coordinate with the insurance desk and Third-Party Administrators (TPAs) for pre-authorization and cashless approvals.

• Submit required medical documentation, diagnosis codes (ICD-10/CPT), and itemized bills.

• Follow up on pending, queried, or rejected insurance claims and coordinate resubmissions. [1, 2, 3]

• Payment Collection & Cash Handling

• Collect payments via cash, credit/debit cards, UPI, or corporate accounts and issue official receipts.

• Reconcile daily collections, match POS/cash registers, and hand over daily shift reports to the finance department.

• Follow up on overdue or partial payments from patients or corporate sponsors. [1, 2, 3, 4]

• Patient & Department Coordination

• Answer patient or family questions regarding bill breakdowns and tariff structures.

• Liaise with nursing stations, doctors, and pharmacy staff to rectify missing entries or wrong charges.

• Maintain strict confidentiality of patient records and financial data in line with HIPAA or local compliance standards. [1, 2, 3, 4]

Preferred candidate profile

Graduation is mandatory

Willing to work in rotational shifts (Morning, Evening and Nigh Shift)

Experience in healthcare industry is mandatoty