Billing Executive

Key Responsibilities:

1. Patient Billing & Invoicing

• Generate patient bills (IPD/OPD/Diagnostics/Emergency) accurately and on time.
  
• Verify charges for procedures, investigations, consultations, consumables, and room charges.
  
• Ensure correct application of tariffs, packages, and discounts as per hospital policy.
  
• Coordinate with nursing, pharmacy, radiology, and other departments to ensure correct charge posting.
  

2. Admission & Discharge Support

• Coordinate with the admission desk for patient registration and billing category.
  
• Prepare provisional and final bills during patient discharge.
  
• Inform patients or attendants about bill updates and outstanding amounts.
  

3. Insurance & TPA Coordination

• Verify insurance/TPA documents and cashless approvals.
  
• Update billing according to TPA/insurance policies and approved limits.
  
• Coordinate for query resolution and documentation required for claim processing.
  
• Ensure accurate billing based on TPA agreements and package rates.
  

4. Cash & Payment Handling

• Receive payments (cash, card, UPI, cheque) and generate receipts.
  
• Reconcile daily cash collections and hand over to accounts as per protocol.
  
• Maintain proper records of refunds, advances, and settlements.
  

5. Documentation & Compliance

• Maintain complete billing records, supporting documents, and audit requirements.
  
• Ensure compliance with hospital policies, NABH standards, and statutory regulations.
  
• Maintain confidentiality of patient financial information.
  

6. Customer Service

• Address billing-related queries and provide clear explanations to patients/families.
  
• Coordinate with doctors and departments for resolving discrepancies in billing.
  
• Provide professional, polite, and transparent communication at all times.
  

Skills & Competencies:

• Strong numerical and analytical skills
  
• Attention to detail and accuracy
  
• Good communication & interpersonal skills
  
• Knowledge of hospital billing systems (HIS)
  
• Understanding of TPA/Insurance processes
  
• Ability to work under pressure and handle patient queries
  
• Basic computer proficiency (MS Excel, HIS software)
  

Qualification & Experience:

• Graduate (Preferably B.Com, BBA, or equivalent)
  
• 13 years of experience in hospital billing (OPD/IPD) preferred
  
• Knowledge of NABH standards will be an added advantage