Sr Executive/ Executive -Billing

Job highlights

• Graduate/MBA with 2+ years experience in TPA/ECHS/CGHS/Ayushman billing in hospitals
• Manage patient billing, insurance claims, payment collection, documentation, and coordinate bill dispatch

Role & responsibilities

Billing & Invoicing

Generate accurate patient bills (OPD/IPD cases)

Handle billing for procedures, lab tests, pharmacy, and room charges

Verify patient details and services before final billing

Insurance & Claims Processing

Coordinate with insurance providers / TPAs/ Ayushman /PSUs etc.

Prepare and submit insurance claims

Handle cashless and reimbursement cases

Follow up on claim approvals and rejections

Payment Management

Collect payments (cash, card, online)

Maintain billing records and receipts

Reconcile daily collections

Documentation & Compliance

Ensure proper documentation for billing and insurance

Maintain patient billing records securely

Follow hospital policies and healthcare regulations

Patient Coordination

Explain bills and charges to patients/attendants

Resolve billing-related queries or disputes

Assist with insurance-related questions

Dispatch Management

Prepare all credit bill (IPD & OPD) along with supporting documents, reports, referral letter etc. for audit and timely submission to the customer within the TAT timeline defined as per the payer group.

Co-ordinate with all inter department for timely submission of bills, reports, inplant bills, stickers, pouches etc. for bill dispatch.

Any other duties assigned by the HOD/ Manager/Supervisor

Preferred candidate profile

Graduate /MBA with good computer skills and a minimum of 2 years experience in TPA/ECHS/CGHS/Ayushman in a reputed hospital.