Billing Executive

M V Hospital; Chennai District; On-site; INR 250,000 - 380,000; Full time

Job summary

MV Hospital for Diabetes in Royapuram, Chennai 600013, seeks a Hospital Insurance Cum Billing Executive to manage IP and OP billing, insurance coordination, and claim processing. The role includes cashless pre-authorisation, policy verification, and patient billing support.

Candidate should have a degree (B.Com preferred) with experience in hospital billing or healthcare administration. Freshers with relevant qualifications and strong communication are welcome to apply.

Qualifications

• Any Degree or B.Com is preferred.
• Certification in hospital billing, medical insurance, or healthcare administration is an added advantage.
• Experience in hospital IP/OP billing and insurance claims is preferred.
• Freshers with relevant qualifications and good communication skills may apply.

Responsibilities

• OP Billing (Outpatient): Prepare and process outpatient bills accurately.
• IP Billing (Inpatient): Prepare and maintain inpatient billing records and final bills at discharge.
• Insurance and TPA Coordination: Verify insurance details, submit claims, and follow up for approvals and settlements.
• General: Maintain accurate billing and insurance documentation and coordinate with Finance for reconciliation.

Skills

Hospital billing

Insurance knowledge

MS Excel

Communication

Attention to detail

Rotational shifts

Education

Any Degree or B.Com

Job description

JOB DESCRIPTION HOSPITAL INSURANCE CUM BILLING EXECUTIVE

Organization: MV Hospital for Diabetes
Department: Billing / Insurance
Location: Royapuram, Chennai 600013
Position: Hospital Insurance Cum Billing Executive
Duty Timing: Rotational Shifts 7am-4pm 10am-7pm 12pm-9pm

Male candidates preferred

Job Summary

We are looking for a responsible and detail-oriented Hospital Insurance Cum Billing Executive to handle both Inpatient (IP) and Outpatient (OP) billing, insurance coordination, claim processing, and patient billing support.

Qualification

• Any Degree or B.Com is preferred.
• Hospital billing, medical insurance, or healthcare administration certification will be an added advantage.
• Experience in hospital IP/OP billing and insurance claims is preferred.
• Freshers with relevant qualifications and good communication skills may also apply.

Key Responsibilities

1. OP Billing (Outpatient)

• Prepare and process outpatient bills accurately.
• Generate bills for consultations, investigations, procedures, and other services.
• Collect payments through cash, card, UPI, and other approved payment methods.
• Verify patient details and billing information.
• Handle billing enquiries and coordinate with the OP department.

2. IP Billing (Inpatient)

• Prepare and maintain inpatient billing records.
• Monitor patient bills, including consultation charges, investigations, procedures, pharmacy, and other services.
• Verify charges and ensure accurate bill preparation.
• Coordinate with wards, nursing staff, pharmacy, and other departments for billing updates.
• Prepare final bills at the time of patient discharge.

3. Insurance and TPA Coordination

• Verify patient insurance details and policy documents.
• Coordinate for cashless pre-authorisation and approval.
• Check insurance eligibility, coverage, and policy limits.
• Prepare and submit insurance claims with the required supporting documents.
• Follow up with insurance companies and Third-Party Administrators (TPAs) regarding claim approvals and settlements.
• Assist with query resolution, claim discrepancies, and rejected claims.
• Maintain insurance records and track pending claims.

4. General Responsibilities

• Maintain accurate billing and insurance documentation.
• Ensure confidentiality of patient and financial information.
• Coordinate with the Finance and Accounts departments for billing reconciliation.
• Follow hospital billing policies and standard operating procedures.
• Provide courteous support to patients and their families.

Required Skills

• Knowledge of hospital IP and OP billing procedures.
• Understanding of health insurance, cashless claims, and TPA processes.
• Basic computer knowledge and MS Excel skills.
• Good communication and coordination skills.
• Attention to detail and accuracy in financial transactions.
• Ability to work in rotational shifts.

Duty Timings

Rotational Shifts as per hospital

Preferred candidate profile