Head Billing & Insurance

Role & responsibilities

Patient Billing & Collections

• Ensure collection of advance/caution deposits for all admitting patients.
  
• Ensure estimation bills are prepared and clearly explained to patients.
  
• Monitor preparation of interim bills and updates to patients on a daily basis.
  
• Ensure billing is accurate and in line with the approved tariff for both OP and IP services.
  
• Ensure final bills are issued only after submission of the discharge summary.
  
• Ensure issuance of receipts for all patient advance collections.
  
• Monitor that 95% of patients remain cash positive during hospital stay.
  
• Ensure zero-error billing through checklist verification in each case sheet.
  

Process Management & Compliance

• Ensure investigations, procedures, and charges are updated in the system daily.
  
• Coordinate with IT for system improvements in the billing process to enhance customer satisfaction.
  
• Ensure timely availability of services to patients by supporting billing operations with adequate resources.
  
• Submit all billing-related checklists to the Medical Records Department daily.
  
• Educate staff on fake currency identification, handling cash transactions, and use of credit card machines.
  

Insurance & Corporate Billing

• Supervise follow-up with insurance and corporate companies for timely payment realization.
  
• Maintain discipline and accountability among the insurance staff.
  
• Provide accurate billing in line with agreed corporate/insurance tariffs.
  

Team Leadership & Development

• Ensure staff maintain politeness, discipline, and professionalism while handling patients/attenders.
  
• Train staff on billing activities, hospital facilities, and procedures.
  
• Provide clear instructions to inpatient billing staff on advance collections for planned major surgeries.
  
• Conduct monthly performance reviews, give 1:1 feedback, and create improvement plans.
  
• Ensure 100% calls are picked within 3 rings with standardized responses.
  

Customer & Consultant Satisfaction

• Address patient grievances promptly and ensure timely resolution.
  
• Strive to achieve >98% patient satisfaction through efficient billing processes.
  
• Enhance consultant satisfaction to >80% by ensuring timely support in payment details.

Preferred candidate profile

• Strong knowledge of hospital billing processes (OP/IP, Insurance, Corporate billing).
  
• Eye for detail and commitment to zero-error billing.
  
• Excellent leadership and team management skills.
  
• Strong communication and problem-solving ability.
  
• High focus on patient-centric and consultant-centric service delivery.
  
• Ability to coordinate effectively with multiple departments (Medical Records, IT, Insurance, Finance).