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Job Type

Full Time

Job Description

Job Title:

Billing Incharge - Hospital Billing & Claims

Location:

Moradabad

Department:

Billing

Reports To:

Hospital Administrator / Finance Manager

About Hospital:

The Siddh Multispeciality Hospital is established by Dr. Anurag Mehrotra, MD, DM, FACC, FESC a renowned figure in the field of cardiology for last twenty years. We have been able to achieve NABH (Complete) & ISQUA (For International Patients) Accreditations in short span of time. Hospital also got accreditation with NBEMS for DNB courses. Siddh Hospital is tertiary Care hospital known for its cardiac & intensive care. Hospital also excess in equipped departments like gastro surgery, minimal invasive surgery, ortho & neurosurgery, maternity care, paediatrics, nephrology and others.

Job Summary:

We are looking for an experienced and detail-oriented

Billing Incharge

to lead and oversee the hospital s billing operations. The ideal candidate must have strong expertise in

TPA (Third Party Administrator) / Insurance billing

and

Ayushman Bharat (PM-JAY)

scheme billing. The role involves end-to-end billing management, claims processing, coordination with TPA/insurance companies, and ensuring timely and accurate revenue realization.

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

    .

Salary:

As per industry standards

Work Type:

Full-time

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