Billing / TPA - Senior Executive

Shalby Hospitals

4 - 9 years

4 - 5 Lacs

ahmedabad

Posted:6 days ago| Platform:

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Skills Required

accounts receivable cash collection tpa mis billing reconciliation bills receivable bill processing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Purpose:

The Assistant Manager Billing / TPA is responsible for overseeing billing operations, TPA coordination, audits, and compliance to ensure accurate revenue realization and adherence to hospital policies. The role supports efficient billing processes across cash, TPA, and corporate segments using TCS HIS software.

Key Responsibilities:

Prepare, update, and maintain
Schedule of Charges (SOC)
for Cash, TPA, and Corporate billing
Prepare and validate
Doctor Payout statements
on a monthly basis
Prepare
financial and operational MIS reports
for management review
Design, update, and maintain
surgical and procedure packages
Justify and reconcile
actual bills against estimated bills
for discharged patients
Monitor billing accuracy and identify discrepancies or revenue leakages
Ensure compliance with hospital policies, internal controls, and applicable regulatory guidelines
Coordinate with billing, clinical, TPA, and insurance teams to resolve
billing hurdles and escalations
Support audits (internal / external) and ensure timely closure of observations
Guide and supervise billing executives to ensure process adherence and accuracy

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