Outpatient Billing Executive

Position Details

Position: Executive – Outpatient Billing

Department: Billing / Revenue Cycle Management

Location: Narayana Health

Reports To: Billing In-Charge / Manager – Billing

Level: Executive / Senior Executive

Language Preference: English and Kannada

Job Purpose

To ensure accurate and timely billing for outpatient services by processing patient transactions, verifying billing details, coordinating with clinical and support departments, and ensuring compliance with hospital billing policies and processes.

Key Responsibilities

1. OP Billing Operations

• Perform billing for outpatient consultations, procedures, investigations, pharmacy and other hospital services as applicable.
• Generate accurate bills, receipts and payment documents for patients.
• Verify patient details, services availed, tariffs, discounts, packages and applicable charges before billing.
• Ensure correct capture of all billable services in the hospital information system.
• Process cash, card, UPI and other approved payment modes as per hospital policy.
• Handle refunds, cancellations and adjustments as per approved procedures.

2. Insurance / Corporate Billing Coordination

• Coordinate with insurance, TPA and corporate desk teams for applicable outpatient billing requirements.
• Ensure appropriate documentation and authorization details are available before processing eligible transactions.
• Clarify billing-related queries raised by patients, insurance/TPA teams and internal departments.
• Ensure accurate application of approved corporate/insurance tariffs and billing arrangements.

3. Patient Coordination

• Assist patients and attendants with billing-related queries and provide clear information regarding charges.
• Handle billing discrepancies and coordinate with concerned departments for resolution.
• Ensure a professional and patient-friendly approach while handling billing transactions.
• Escalate unresolved billing or payment-related issues to the appropriate authority.

4. Billing Accuracy & Revenue Control

• Verify billing entries to minimize errors, omissions and revenue leakage.
• Ensure all services provided are appropriately captured and billed.
• Monitor cancelled, modified and adjusted transactions as per defined processes.
• Reconcile daily collections with system-generated reports and physical/digital payment records.
• Report discrepancies to the Billing In-Charge / Manager.

5. Documentation & Reporting

• Maintain accurate records of bills, receipts, refunds, cancellations and adjustments.
• Prepare daily collection and transaction reports as required.
• Support reconciliation of OP billing and collection data with the Accounts/Finance team.
• Maintain required documentation for internal and external audits.

6. Compliance & Quality

• Adhere to hospital billing policies, SOPs and approved tariff structures.
• Ensure compliance with applicable patient safety, confidentiality and data protection requirements.
• Participate in internal audits and support corrective actions related to billing processes.
• Maintain confidentiality of patient and financial information.

7. Coordination with Internal Departments

• Coordinate with OPD, Front Office, Diagnostics, Pharmacy, Nursing, Medical Records, Accounts and other departments for smooth billing operations.
• Follow up on missing or incorrect service entries and ensure timely correction.
• Support process improvement initiatives to enhance billing efficiency and patient experience.

Key Performance Indicators (KPIs)

• Bill generation and transaction processing.
• Daily collection and reconciliation accuracy.
• Reduction in billing discrepancies and revenue leakage.
• Compliance with billing policies and approved tariffs.
• Timely resolution of patient and departmental billing queries.
• Audit compliance.
• Patient service and satisfaction.

Educational Qualification

• Bachelor’s in Commerce.
• Graduation in Commerce, Finance, Business Administration or Healthcare Management will be an added advantage.
• l Relevant certification in hospital billing / healthcare revenue cycle management will be an advantage.

Experience

• 0–1 year of experience in hospital billing / healthcare revenue cycle management.
• Experience in OP billing in a hospital or healthcare organization is preferred.
• Working knowledge of hospital information systems / billing software is desirable.
• Good understanding of hospital billing processes and tariffs.
• Basic knowledge of insurance/TPA and corporate billing processes.
• Attention to detail and accuracy.
• Good communication and interpersonal skills.
• Patient-centric approach.
• Problem-solving and coordination skills.
• Basic computer and MS Office skills.
• Ability to work in a fast-paced hospital environment.
• Customer orientation.
• Accountability and ownership.
• Integrity and confidentiality.
• Teamwork and collaboration.
• Attention to detail.
• Effective communication.
• Ability to work under pressure.
• Adaptability and willingness to learn.

Pay: ₹20,000.00 - ₹25,000.00 per month

Benefits:

• Flexible schedule
• Health insurance
• Paid sick time
• Provident Fund

Education:

• Bachelor's (Preferred)

Language:

• Kannada (Preferred)

Work Location: In person