Medical Billing Manager

5 - 9 years

0 Lacs

Posted:1 week ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As the Hospital Billing Head, you will lead and oversee the billing operations of the hospital. Your responsibilities will include: - Overseeing end-to-end billing operations for inpatient, outpatient, and emergency services. - Supervising billing staff and allocating duties for optimal efficiency. - Ensuring accurate and timely generation and submission of patient bills. - Verifying documentation and coding of services before billing. - Monitoring and ensuring proper processing of insurance claims (TPA/CGHS/ESIC/Corporate). - Coordinating with clinical, administrative, and IT departments for a smooth billing workflow. - Developing and implementing SOPs for billing and revenue cycle management. - Analyzing billing data to identify revenue leakage and implementing corrective actions. - Training and mentoring billing staff regularly on policy changes and best practices. - Ensuring compliance with hospital policies, tax regulations, and healthcare billing norms. - Preparing billing reports and presenting regular updates to the senior management. Your required skills for this role include: - Strong knowledge of hospital billing processes and medical terminologies. - Experience in dealing with insurance companies, TPAs, and corporate clients. - Excellent analytical and problem-solving skills. - Familiarity with hospital information systems (HIS) and billing software. - Strong leadership, communication, and team management abilities. - In-depth knowledge of applicable statutory norms (GST, Income Tax, etc.). Preferred qualifications: - Prior experience in NABH-accredited hospital billing. - Proficiency in Excel and MIS reporting. - Exposure to audit and compliance processes related to billing. You will be working full-time in a permanent role with day shift hours at the in-person work location.,

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