Medical Billing Manager

Job Description

Job Summary : We are seeking an experienced and detail-oriented Hospital Billing Head to lead and oversee the entire billing operations of our hospital. The candidate will be responsible for managing billing teams, ensuring timely and accurate billing, coordinating with insurance providers, and maintaining compliance with applicable laws and healthcare regulations. Key Responsibilities : Oversee end-to-end billing operations for inpatient, outpatient, and emergency services. Supervise billing staff and allocate duties for optimal efficiency. Ensure accurate and timely generation and submission of patient bills. Verify documentation and coding of services before billing. Monitor and ensure proper processing of insurance claims (TPA/CGHS/ESIC/Corporate). Resolve discrepancies or denials in insurance claims and follow up on outstanding payments. Coordinate with clinical, administrative, and IT departments for smooth billing workflow. Develop and implement SOPs for billing and revenue cycle management. Analyze billing data to identify revenue leakage and implement corrective actions. Train and mentor billing staff regularly on policy changes and best practices. Ensure compliance with hospital policies, tax regulations, and healthcare billing norms. Prepare billing reports and present regular updates to the senior management. Required Skills : 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 : Prior experience in NABH-accredited hospital billing. Proficiency in Excel and MIS reporting. Exposure to audit and compliance processes related to billing. Job Types: Full-time, Permanent Pay: From ₹25,000.00 per month Schedule: Day shift Work Location: In person