Assistant Manager/Manager Revenue Cycle & Credit Billing (Hospital)

Job Summary:

The Assistant Manager/Manager Revenue Cycle & Credit Billing is responsible for

overseeing the entire billing and collection process with a focus on accounts receivable

management, government scheme billing (CGHS, ECHS, Ayushman Bharat), credit patients,

and hospital pricing strategy. The role ensures timely collection, minimizes revenue leakage,

maintains healthy cash flow, and ensures compliance with institutional and government

regulations.

Key Responsibilities:

Accounts Receivable & Collections

• Manage and monitor the aging of accounts receivable.

• Drive timely collections from patients, TPAs, corporates, and government schemes.

• Resolve disputes related to billing, payments, and adjustments.

Credit Business & Corporate Billing

• Oversee credit policies and ensure proper documentation and approvals for credit

admissions.

• Manage billing and collection from corporates and insurance companies.

• Coordinate with internal teams to ensure discharge summaries and bills are submitted

on time.

Hospital Billing & Pricing

• Ensure accurate billing in accordance with hospital pricing protocols.

• Regularly review and update hospital service price lists in coordination with finance

and clinical departments.

• Monitor package rates and exceptions to prevent revenue loss.

Government Schemes (CGHS, ECHS, Ayushman Bharat)

• Handle end-to-end billing, documentation, and submission of claims for CGHS,

ECHS, and Ayushman Bharat patients.

• Track claim rejections and manage re-submissions and appeals.

• Stay updated on government scheme guidelines, packages, and compliance norms.

Audit & Compliance

• Support internal and external audits related to billing and receivables.

• Ensure all billing practices comply with NABH, IRDA, and scheme-specific norms.

Data Management & Reporting

• Use MS Excel for analysis of revenue, receivables, billing trends, and outstanding.

• Prepare MIS reports for senior management on a weekly/monthly basis.

• Develop dashboards to track collection efficiency, scheme-wise claims, and revenue

leakages.

Key Skills & Competencies:

• In-depth knowledge of hospital billing systems and government health schemes.

• Strong command over MS Excel (Pivot Tables, VLOOKUP, Formulas, etc.)

• Sound understanding of healthcare pricing and packages.

• Excellent analytical and negotiation skills.

• Ability to lead cross-functional teams (billing, TPA, credit desk, etc.)

• Working knowledge of HIS/ERP billing software.

Qualifications:

• Graduate/Postgraduate in Finance, Commerce, Hospital Administration, or related

field.

• Certification in Revenue Cycle Management or Healthcare Finance (preferred).

Experience:

• 610 years of experience in hospital billing/accounts, with at least 3 years in

AR/collections or government scheme billing roles.