Billing Manager

Billing Manager – Hospital Setting: Key Responsibilities

1.

Patient Billing Oversight

• Ensure accurate and timely generation of patient bills based on services rendered.
• Supervise entry of charges from departments like radiology, surgery, lab, and pharmacy.
• Validate that billing reflects correct coding (ICD-10, CPT, HCPCS) and insurance rules.

2.

Insurance Claims and Reimbursements

• Oversee submission of insurance claims to private insurers, Medicare, and Medicaid.
• Ensure compliance with payer-specific requirements and government regulations.
• Track claim statuses and manage rejections, denials, and appeals.

3.

Revenue Cycle Management

• Coordinate the full cycle from patient registration to final payment.
• Monitor accounts receivable and collections; work to reduce days in A/R (Accounts Receivable).
• Collaborate with revenue integrity, finance, and HIM (Health Information Management) departments.

4.

Team Leadership

• Manage and train billing and coding staff.
• Delegate tasks effectively and ensure staff follow hospital billing protocols.
• Conduct performance reviews and staff development activities.

5.

Compliance and Audit Readiness

• Ensure billing practices comply with:
• HIPAA
• CMS (Centers for Medicare & Medicaid Services) guidelines
• Local and federal regulations
• Prepare documentation for internal and external audits.

6.

Patient Communication and Support

• Address patient inquiries regarding charges, statements, and payment plans.
• Coordinate with patient financial services to resolve billing concerns or complaints.

7.

Technology and Reporting

• Oversee the use and maintenance of hospital billing systems (e.g., Epic, Cerner, Meditech).
• Generate reports on billing performance, claim rejections, and revenue metrics.
• Work with IT and compliance teams to upgrade billing software and implement automation.

8.

Interdepartmental Coordination

• Liaise with clinical departments, admissions, and case management to ensure complete charge capture.
• Support the finance department in forecasting and budgeting related to billing.

Critical Skills Required

• Deep knowledge of medical billing and coding standards (ICD-10, CPT, DRGs)
• Familiarity with hospital billing software (e.g., Epic, Cerner)
• Strong understanding of payer guidelines (Medicare/Medicaid/Private)
• Leadership, communication, and analytical skills

Job Type: Full-time

Pay: ₹15,000.00 - ₹20,000.00 per month

Benefits:

• Provident Fund

Schedule:

• Morning shift
• Night shift
• Rotational shift

Supplemental Pay:

• Yearly bonus

Ability to commute/relocate:

• Mangadu, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required)

Education:

• Bachelor's (Required)

Experience:

• Billing: 1 year (Required)

Language:

• English and Tamil (Required)

Shift availability:

• Day Shift (Preferred)
• Night Shift (Preferred)

Work Location: In person

Application Deadline: 03/08/2025
Expected Start Date: 12/08/2025