Billing Incharge

Job Title:

About Hospital:

Job Summary:

Key Responsibilities:

• Supervise day-to-day billing operations across

  cash, credit, TPA, and government schemes

  .
• Ensure accurate and timely

  pre-authorization, claim submission, and follow-ups

  with TPAs and insurance companies.
• Handle

  Ayushman Bharat (PM-JAY)

  beneficiary verification, package selection, and e-card generation.
• Ensure compliance with

  Ayushman Bharat billing protocols

  , empanelment terms, and timely claim settlement.
• Coordinate with

  medical, nursing, and diagnostic teams

  to gather all documentation required for claim processing.
• Resolve queries related to

  claims rejection, short payments

  , and discrepancies in coordination with TPAs and government portals.
• Prepare and review

  MIS reports

  on billing, pending claims, collections, and rejections.
• Maintain accurate and organized

  billing records and audit trails

  for internal and external audits.
• Ensure team adherence to

  SOPs, turnaround times (TATs)

  , and revenue cycle management goals.
• Train and supervise billing staff and ensure high standards of customer service and compliance.

Qualifications & Skills:

• Graduate or Postgraduate

  in Commerce, Healthcare Administration, or related field.
• Minimum

  3-5 years of experience

  in hospital billing with hands-on experience in

  TPA/insurance and Ayushman billing

  .
• Strong knowledge of

  hospital billing software (e.g., HIS systems)

  and online claim portals (ROHINI, PM-JAY, etc.).
• Familiarity with

  medical terminology, hospital packages, coding (ICD/CPT)

  , and insurance procedures.
• Excellent problem-solving, communication, and interpersonal skills.
• Ability to work under pressure and meet strict timelines.

Preferred Qualifications:

• Certification in

  Medical Billing or Health Insurance Claims Processing

  .
• Experience with

  state health schemes

  and

  public-private partnership billing

  .