BILLING MANAGER

WORK DUTIES OF BILLING MANAGER – INPATIENT BILLING & CREDIT MANAGEMENT1. INPATIENT BILLING MANAGEMENT (HIS)

• Ensure timely and accurate generation of inpatient bills using the Hospital Information System (HIS).
• Real-time updating of patient charges (room rent, surgery, pharmacy, diagnostics, consumables, professional fees, etc.).
• Coordinate with nursing, pharmacy, lab, radiology, and medical departments to avoid billing discrepancies.
• Monitor and verify bed upgrades, doctor visit charges, implant costs, and surgical consumables.
• Regular audits of provisional bills to ensure no revenue leakage.

2. CASH PATIENT BILLING

• Ensure accurate cash billing for patients not covered under insurance or panel schemes.
• Monitor advance collection, and final billing, and ensure timely discharge clearance.
• Supervise daily cash collection reports and submit the cash collection summary to accounts.

3. INSURANCE / TPA / CREDIT BILLING

• Responsible for sending timely pre-authorization requests to respective insurance companies/TPAs for approval.
• Coordination with treating consultants and patients for pre-auth documentation and justification letters.
• Ensure timely follow-up of approvals, including enhancement requests during inpatient stay.
• Handle queries from TPA/insurance about treatment plans or documentation.
• Prepare and dispatch final bills with required documents (case sheet, lab reports, discharge summary, etc.) to TPA post-discharge.
• Maintain record of pending approvals, rejections, queries, and resolve them promptly.

4. CGHS / ECHS / GOVERNMENT PANEL BILLING

• Prepare and forward authorization requests, bills, and documents as per CGHS/ECHS protocols.
• Ensure all relevant codes, package rates, and eligibility criteria are correctly applied.
• Regular liaison with CGHS/ECHS officers for clarifications and approvals.
• Monitor submission deadlines and renewal requirements.

5. DOCUMENT MANAGEMENT & DISPATCH

• Oversee physical and digital dispatch of bills, case summaries, diagnostic reports, and claim forms to TPA/panel offices.
• Maintain a dispatch register/logbook and proof of submission.
• Ensure that all documents are indexed and archived for future reference and audit.

6. PAYMENT TRACKING & AGEING

• Track pending payments from insurance/TPA/panel parties on a real-time basis.
• Generate and monitor ageing reports – 30 days, 60 days, 90 days+ outstanding.
• Flag long-pending payments and follow up with finance/TPA for resolution.
• Coordinate with accounts to match payments received with bills submitted and record settlements accurately.

7. SETTLEMENT OF PAYMENTS

• Ensure timely receipt reconciliation of payments received from insurance, TPA, CGHS, ECHS, corporates.
• Coordinate with the accounts department for posting of credit entries and closing of patient accounts.
• Investigate and resolve short payments, deductions, and payment mismatches.
• Maintain settlement MIS for internal tracking and audit.

8. DASHBOARD MANAGEMENT

• Update and maintain a real-time Billing Dashboard with:
• Daily billing summary
• Pending authorization list
• Ageing report
• Revenue breakup (Cash vs. Credit)
• Settlement and receipt summary
• Generate daily/weekly/monthly MIS reports for senior management and finance.

9. AUDIT & COMPLIANCE

• Ensure compliance with NABH/JCI billing documentation standards.
• Coordinate with internal and external auditors during audits.
• Rectify any irregularities in documentation, overcharging, or underbilling.

10. TEAM MANAGEMENT & TRAINING

• Supervise the billing team for shift-wise operations, staff allocation, and leave planning.
• Conduct regular training sessions for billing staff on system updates, new policies, and panel requirements.
• Escalate unresolved billing or documentation issues to hospital management.

Job Types: Full-time, Permanent

Pay: ₹19,364.33 - ₹65,135.32 per month

Benefits:

• Cell phone reimbursement
• Health insurance
• Internet reimbursement
• Paid sick time
• Paid time off
• Provident Fund

Ability to commute/relocate:

• Urban Estate, Gurugram, Haryana: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• Hospital: 3 years (Required)

Work Location: In person

Expected Start Date: 06/08/2025