Assistant Manager (Panel Billing)

House Of Diagnostics; Dadri, Delhi; On-site; INR 350,000 - 550,000; Full time

Job summary

House Of Diagnostics in India is seeking a skilled billing professional to manage CGHS tariff compliance, bill generation, and denial management.

You will scrub documentation, coordinate with authorities, and ensure online submissions via CGHS portals within prescribed timelines.

The role emphasizes revenue cycle accuracy and audit readiness to support timely funds clearance.

Qualifications

• Knowledge of CGHS NABH/Non-NABH tariff rates.
• Experience in medical billing, claims processing and revenue cycle management.
• Attention to documentation accuracy and audit readiness.

Responsibilities

• Ensure billing aligns with CGHS tariffs for procedures, consultations, labs, rooms and surgeries.
• Review patient files and bills before submission to prevent rejections and ensure accuracy.
• Submit bills via CGHS portals within prescribed timelines and manage aging A/R and audits.

Skills

CGHS tariff knowledge

Medical billing

Revenue cycle management

Documentation accuracy

Job description

1. CGHS Rates & Package Management Tariff Compliance: Ensure all procedures, doctor consultations, lab tests, room rents, and surgeries are billed strictly according to the officially prescribed CGHS NABH/Non-NABH tariff rates

Claims Processing & Billing Bill Generation & Verification: Review patient files, discharge summaries, nursing notes, and prescriptions against generated bills before final submission to prevent rejections.Documentation Scrubbing: Ensure required supporting documents (CGHS plastic card copy, referral letter/permission letter from CMO/competent authority, prescription slips, diagnostic reports) are complete and attached.Online Submission: Submit bills via dedicated healthcare portals (such as NHA/UTI-ITSL portals for CGHS processing) within prescribed timelines

Revenue Cycle & Audit OperationsDiscrepancy & Denial Management: Track deductions, queries, or claim rejections made by CGHS bill scrutinizers and resubmit revised claims or appeals with proper justification. Outstanding Recovery: Monitor Aging Accounts Receivable (A/R) from the Ministry of Health & Family Welfare/CGHS department and coordinate for timely funds clearance. Audit Preparedness: Conduct routine internal audits to ensure compliance with CGHS guidelines and prepare documentation for government auditor reviews.