Billing Manager

1. Billing Operations Management

· Supervise and manage OP & IP billing teams.

· Ensure accurate and timely generation of patient bills.

· Monitor daily billing activities, reconciliations, and cash collection.

· Validate service coding (ICD/CPT) and pricing in accordance with policies.

· Generate and present daily, weekly, and monthly collection reports to senior leadership.

· Analyze aging reports, highlight trends, and propose corrective actions.

2. Insurance Coordination & Claims Processing

· Oversee pre-authorization, insurance eligibility verification, and approvals.

· Supervise submission of insurance claims and monitor turnaround times.

· Follow up on pending claims and coordinate with insurers for settlement.

· Address claim rejections, denials, and initiate appeals as necessary.

3. Compliance & Documentation

· Ensure compliance with medical billing regulations and insurer requirements.

· Maintain accurate documentation of billing and insurance communications.

· Stay updated with changes in insurance guidelines and tariff revisions.

4. Team Management

· Lead and train billing and insurance team members.

· Conduct regular performance reviews and feedback sessions.

· Allocate work schedules and ensure staffing coverage.

5. Reporting & Audit

· Generate and analyze daily/weekly/monthly billing and collection reports.

· Support internal and external audits by providing necessary documentation.

· Monitor KPIs such as billing accuracy, claim rejection rate, and AR days.

· Maintain complete documentation of communication and collection efforts.

· Regularly review and update SOPs to reflect current best practices.

6. Stakeholder Coordination

· Liaise with clinicians, patient service departments, and finance teams.

· Address patient concerns related to billing or insurance coverage.

· Coordinate with TPA/insurance representatives for seamless operations.

Job Type: Full-time

Pay: ₹60,000.00 - ₹65,000.00 per month

Benefits:

• Food provided
• Provident Fund

Experience:

• Hospital Billing : 10 years (Preferred)

Work Location: In person