Billing Executive

Roles and Responsibilities

• Manage billing processes for OPD, IPD, Cashless, and Credit cases.
  
• Handle cash handling activities with accuracy and efficiency.
  
• Ensure timely processing of bills from admission to discharge.
  
• Maintain accurate records of patient accounts receivable (AR) and follow up on outstanding payments.
  
• Coordinate with insurance companies for claim settlements.

• Verify patient records, services rendered, and consultant charges before final billing.

• Ensure compliance with NABH documentation norms and approval processes.

• Handle pre-admission estimates, interim billing, and final discharge billing.

• Process insurance/TPA claims by verifying eligibility, approvals, and required documentation.

• Communicate with insurance companies for pre-authorizations, queries, and reimbursements.

• Maintain complete records of all insured patients as per NABH guidelines.

• Manage and record all cash, card, and digital transactions with accuracy.

• Issue receipts and maintain reconciliation reports for daily collections.

• Assist in preparing daily cash reports and submit to finance/accounts.

• Support internal and NABH audits by ensuring complete billing documentation and coding.

• Implement billing-related SOPs in line with NABH quality standards.

• Assist in resolving billing disputes and discrepancies ethically and promptly.

• Address patient and attendant billing-related queries politely and clearly.

• Educate patients on billing components and insurance claim processes.

• Ensure transparency and integrity in all financial interactions with patients.

• Familiarity with hospital billing software.

• Basic knowledge of medical terminology, insurance, and TPA protocols.