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3.0 - 6.0 years
3 - 4 Lacs
faridabad
Work from Office
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.
Posted 3 days ago
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