AGM -IP Billing (Hospital) Credit/Cash/Insurance

Continental Hospital

Continental Hospitals, India’s first LEED qualified super specialty hospital is built on international standards and is designed to enhance the healing spaces with natural ventilation, safety, and privacy. The hospital has incorporated the safest standards in the world including fire, water resources, sanitation, and internal transportation systems. Continental Hospitals was founded by Dr Guru N Reddy in April 2013 to redefine healthcare in India by providing quality patient care with integrity, transparency, a collaborative approach, and evidence-based medicine.

Roles & Responsibilities – Sr Manager Billing (Multispecialty Hospitals)

Min Exp- 15+ Years

Must have headed Billing for Multispecialty Hospitals(min 300+ Bedded)

1. IP Billing Operations Management

• Oversee

  end-to-end billing process

• Ensure

  accurate and timely generation of bills

  for patients, insurance, CGHS, Arogyasree
• Supervise

  discharge billing

  ,

  interim billing

  , and

  final settlements

  with zero discrepancies.

2. Revenue Cycle & Reconciliation

• Monitor the

  Revenue Cycle Management (RCM)

  to ensure all services are captured and billed.
• Verify

  charge entries, discounts, refunds, and adjustments

  as per hospital policy.
• Conduct

  daily reconciliation

  of cash, card, and online transactions with Finance.

3. Insurance Coordination

• Oversee

  cashless and credit billing

  processes.
• Ensure

  timely pre-authorization, enhancement, and final bill submission

  to TPAs and corporates.
• Follow up on

  pending claims

  and coordinate with TPA desk for settlements.

4. Audit & Compliance

• Maintain

  NABH and statutory compliance

  in billing documentation and processes.
• Conduct

  internal audits

  to identify revenue leakages and initiate corrective actions.
• Ensure adherence to

  hospital pricing policies

  and

  approval hierarchies

  .

5. Reporting & Analysis

• Generate and review

  daily/weekly/monthly billing MIS

  and revenue reports.
• Track

  collection efficiency, outstanding dues, and revenue trends

  .
• Present analytical reports to Management for financial planning and forecasting.

6. Team Leadership & Training

• Supervise

  Finance Counsellor

• Conduct

  training sessions

  on billing software, TPA protocols, and patient communication.
• Motivate and guide the team to achieve

  accuracy and service excellence

  .

7. Coordination & Communication

• Liaise with

  Medical, Nursing, Front Office, and Finance

  teams for smooth discharge and billing operations.
• Address

  patient queries and grievances

  related to billing promptly and professionally.
• Act as the

  key point of contact

  between management and operational billing teams.

Technical Proficiency:

• Proficient in

  MS Excel, Word, PowerPoint

• Working knowledge of

  hospital ERP / HIS systems

• Familiar with

  Tally / basic accounting software