Head Billing

Key Responsibilities of a Billing Head in a Hospital

1. Billing & Revenue Cycle Management

• Oversee patient billing for OPD, IPD, emergency, and day-care services
  
• Ensure accurate charge capture for consultations, procedures, investigations, and pharmacy
  
• Monitor end-to-end Revenue Cycle Management (RCM)
  

2. Insurance, TPA & Corporate Billing

• Manage cashless and reimbursement claims with insurance companies and TPAs
  
• Ensure proper documentation for pre-authorizations and claims submission
  
• Resolve claim denials, short payments, and rejections
  
• Coordinate with corporate clients and empaneled organizations
  

3. Compliance & Accuracy

• Ensure billing complies with hospital policies, insurance rules, and legal requirements
  
• Prevent billing errors, fraud, and revenue leakage
  
• Stay updated with healthcare billing regulations and taxation rules (e.g., GST where applicable)
  

4. Team Leadership & Training

• Lead, supervise, and train billing, insurance, and front-desk billing teams
  
• Set performance targets and KPIs for billing staff
  
• Ensure smooth coordination between billing, clinical, pharmacy, and finance departments
  

5. Financial Control & Reporting

• Monitor daily collections, outstanding receivables, and aging reports
  
• Prepare MIS reports on billing performance and revenue trends
  
• Support audits and management reviews
  

6. Patient Communication & Service

• Address patient and attendant billing queries and grievances
  
• Ensure transparency and clarity in billing explanations
  
• Support patient satisfaction while maintaining financial discipline
  

7. Systems & Process Improvement

• Oversee Hospital Information System (HIS) billing modules
  
• Implement process improvements to enhance billing efficiency
  
• Ensure correct coding and tariff updates in the system
  

8. Cost Control & Revenue Optimization

• Identify revenue leakage and implement corrective measures
  
• Ensure optimal pricing and package compliance
  
• Support management in improving hospital profitability
  

9. Coordination with Finance & Management

• Work closely with finance, accounts, and internal audit teams
  
• Assist in budgeting and forecasting revenue
  
• Provide insights to hospital leadership for strategic decisions

  Role & responsibilities

Preferred candidate profile