Billing Coordinator

Job Title:

Coordinator - IPD Billing

Department:

IPD Billing

Job Summary:

The Senior Executive IPD Billing is responsible for overseeing the accuracy and completeness of inpatient billing, conducting final bill audits, coordinating patient discharges, and ensuring timely revenue realization. The role ensures that all billing activities comply with hospital policies, statutory requirements, and insurance/TPA protocols.

Key Responsibilities:

Billing & Audit

• Verify and audit all inpatient bills for accuracy before finalization and discharge.
• Ensure all consultant charges, investigations, procedures, nursing services, pharmacy, consumables, and room charges are accurately captured.
• Reconcile billed services with patient case sheets, doctors notes, and charge slips.
• Identify and rectify billing discrepancies, duplicate entries, and missing charges.
• Coordinate with respective departments (Nursing, Pharmacy, Diagnostics, OT, etc.) to confirm service posting.

Discharge Coordination

• Facilitate a smooth discharge process by coordinating between treating consultants, nursing staff, and the billing department.
• Ensure timely generation and closure of the final bill.
• Communicate the final bill amount to patients or their attendants; handle queries professionally.
• Ensure all discharge documentation is complete and properly filed.

Insurance/TPA Liaison

• Coordinate with the TPA/insurance desk for pre-authorization, final approval, and settlement.
• Verify insurance coverage limits, exclusions, and applicable tariffs.
• Ensure all supporting documents are submitted for claim processing.

Revenue Control & Reporting

• Maintain accurate and up-to-date billing records in the Hospital Information System (HIS).
• Prepare daily, weekly, and monthly billing and discharge reports.
• Track pending discharges, final bills under process, and reasons for delays.
• Support internal/external billing audits and assist in compliance reviews.

Customer Service & Compliance

• Address billing-related patient queries courteously and effectively.
• Ensure compliance with hospital billing policies, NABH/JCI standards, and statutory norms.
• Maintain confidentiality of patient and financial information.

Key Skills & Competencies:

• Strong knowledge of hospital billing procedures (IPD focus).
• Familiarity with HIS (Hospital Information Systems) and TPA/insurance processes.
• Attention to detail and excellent numerical accuracy.
• Strong coordination and communication skills.
• Ability to work under pressure, especially during high discharge load.
• Knowledge of healthcare coding, tariffs, and audit principles preferred.

Qualifications & Experience:

• Bachelors degree in commerce, healthcare administration, or a related field.
• MBA in Hospital Management or equivalent (preferred).
• 4–8 years of experience in IPD billing, discharge, or audit function in a hospital setting.
• Hands-on experience with hospital billing software (e.g., HIS, ERP, SAP, etc.).