Medical Billing Executive

1. Patient Billing & Invoicing

• Prepare and generate accurate inpatient, outpatient, and emergency bills.
• Verify patient details, treatment procedures, and service charges before final billing.
• Ensure inclusion of all medical services, consumables, and doctor fees in the bill.
• Handle advance payments, refunds, and discharge clearances.

2. Insurance & TPA Coordination

• Verify patient insurance coverage and obtain pre-authorization approvals.
• Prepare and submit insurance claims to TPA/insurance companies.
• Follow up on pending or rejected claims and resolve discrepancies.
• Maintain communication with insurance representatives for claim status updates.

3. Payment & Collection Management

• Collect payments through cash,card, or online modes.
• Reconcile daily billing and collection reports with finance records.
• Maintain accurate payment receipts and deposit details.

4. Documentation & Reporting

• Maintain complete and organized billing records.
• Update patient billing data in the Hospital Information System (HIS).
• Generate daily, weekly, and monthly billing and revenue reports.

5. Compliance & Audit

• Ensure billing compliance with hospital policies and healthcare regulations.
• Support internal and external audits with required documentation.
• Maintain confidentiality of patient and financial information.

Experience Required:

• Minimum 2–3 years of experience in hospital field billing, including patient billing, insurance/TPA claim processing, and payment reconciliation.
• Experience in both cash and credit billing environments preferred.
• Hands-on experience with Hospital Information Systems (HIS) and accounting software.

Qualifications:

• Bachelor’s degree in Commerce, Accounting, Finance, or Hospital Administration.
• Strong understanding of healthcare billing systems and medical terminology.

Job Type: Full-time

Benefits:

• Provident Fund

Expected Start Date: 20/10/2025