Ipd Billing Executive

3 - 6 years

3 - 4 Lacs

Posted:2 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Role & responsibilities

  • Manage end-to-end inpatient billing: capture charges for diagnostics, treatments, surgeries, medications, room stays, consumables.
  • Verify and process patient insurance details, pre-authorizations, claims, and reimbursements.
  • Create accurate interim and final bills, reconcile discrepancies, and follow up on outstanding payments.
  • Provide cost estimates and explain billing to patients/attendants in clear, helpful terms.
  • Coordinate across multiple departmentsnursing, pharmacy, diagnostics, financefor comprehensive billing capture.
  • Maintain compliance with hospital SOPs, billing guidelines, regulatory standards (NABH/JCI, IRDA, CGHS/ECHS).
  • Maintain and audit billing documentation, support internal/external audits.
  • Generate and analyze billing KPIs: pending claims, denial rates, revenue leakage, aging, turnaround time.
  • Collaborate with HIS/IT or process improvement teams to optimize billing workflows.

Preferred candidate profile

  • Graduate degree (Commerce, Hospital Administration, or relevant field); MBA or healthcare management a plus.
  • 26 years of experience in hospital IPD billing (depending on role seniority).
  • Familiar with hospital billing systems (HIS), TPA processes, corporate/PSU billing, GST/IPT rules, health insurance policies.
  • Strong communication, attention to detail, problem-solving, and data entry skills.
  • Familiarity with healthcare accreditation (NABH/JCI) and legal/regulatory compliance.

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