Assistant Billing Manager

Shalby Hospitals; Ahmedabad District; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Shalby Hospitals seeks an experienced Hospital Billing Lead to oversee end-to-end billing across multiple units in Gujarat. You will coordinate with Billing Heads, finance, and TPA/Insurance to ensure accurate charges, timely submissions, and standardised processes.

You will monitor OPD/IPD billing, packages, diagnostics and consumables, review discrepancies, and drive revenue realisation while upholding SOPs and defined TATs. Prior multi-unit hospital experience is preferred.

Qualifications

• Experience in Hospital Billing / TPA / Insurance / Revenue Cycle.
• Strong practical knowledge of end-to-end hospital billing.
• Experience in multi-unit hospital operations will be preferred.
• Capable of independently reviewing billing data and identifying discrepancies.
• Good understanding of TPA/Insurance claims, deductions and settlements.

Responsibilities

• Coordinate with Billing Heads across units and ensure standardised billing across the system.
• Monitor OPD/IPD billing, package billing, procedures, pharmacy, diagnostics and consumables.
• Review billing accuracy and identify missed charges, under-billing, and revenue leakage.
• Handle and monitor TPA, insurance and corporate billing, including claim submission, deductions, disallowances, denials and pending cases.
• Review discounts, refunds, cancellations, adjustments and billing discrepancies.
• Analyze unit-wise billing performance and highlight gaps, irregularities and areas requiring corrective action.
• Ensure adherence to billing SOPs, policies and defined TATs across units.
• Coordinate with Finance, Operations, TPA/Insurance and other departments for resolution of billing-related issues.
• Support the Corporate Billing Head in standardising billing processes and improving revenue realisation across units.

Skills

Billing

Revenue Cycle

TPA/Insurance

Tools

Hospital ERP

MS Excel

MIS Reporting

Job description

• Coordinate with Billing Heads across all units and ensure smooth and standardised billing operations.
• Monitor OPD/IPD billing,package billing, procedures, pharmacy, diagnostics, consumables and other hospital services.
• Review billing accuracy and identify missed charges, under-billing, incorrect billing and revenue leakages.
• Handle and monitor TPA,insurance and corporate billing, including claim submission,deductions, disallowances, denials and pending cases.
• Review discounts,refunds, cancellations, adjustments and billing discrepancies.
• Analyze unit-wise billing performance and highlight gaps, irregularities and areas requiring corrective action.
• Ensure adherence to billing SOPs,policies and defined TATs across units.
• Coordinate with Finance,Operations, TPA/Insurance and other departments for resolution of billing-related issues.
• Support the Corporate Billing Head in standardising billing processes and improving revenue realisation across units.
• Experience in Hospital Billing / TPA / Insurance / Revenue Cycle.
• Strong practical knowledge of end-to-end hospital billing.
• Experience in multi-unit hospital operations will be preferred.
• Good understanding of TPA/Insurance claims, deductions and settlements.
• Should be capable of independently reviewing billing data and identifying discrepancies.
• Working knowledge of HospitalERP/HIS and MS Excel/MIS reporting.
• Strong coordination,analytical and problem-solving skills.