Billing Executive

Criticare Asia Multispeciality Hospital; Mumbai; On-site; INR 240,000 - 360,000; Full time

Job summary

Criticare Asia Multispeciality Hospital in Mumbai is seeking a Billing Executive to manage inpatient and outpatient billing, coordinate with insurers, and maintain accurate billing records. You will verify charges, process payments, and ensure compliance with hospital policies.

Key tasks include generating OPD/IPD bills, coordinating with TPAs, and ensuring proper documentation in the HIS. The role requires a graduate with basic billing knowledge and strong attention to detail.

Qualifications

• Graduate with basic knowledge of hospital billing.
• Experience in processing OPD/IPD bills and insurance coordination.
• Ability to verify charges and maintain billing records.

Responsibilities

• Prepare and generate bills for OPD, IPD, diagnostic services, and procedures.
• Verify charges for consultations, investigations, medications, and procedures.
• Ensure accurate entry of patient details and services in the Hospital Information System (HIS).
• Coordinate with insurance companies and TPAs for cashless and reimbursement cases.
• Submit required documents for insurance claims processing.
• Collect payments from patients and issue receipts; maintain payment records.

Skills

Billing

Insurance coordination

Cash handling

Documentation

Education

Any graduate

Tools

HIS

Job description

JOB DESCRIPTION BILLING EXECUTIVE

• POSITION: - BILLING EXECUTIVE
• DEPARTMENT: - BILLING
• REPORTING TO: - HEAD BILLING & TPA
• QUALIFICATION: ANY GRADUATE.

Job Summary

The Billing Executive is responsible for preparing accurate patient bills for inpatient and outpatient services, ensuring proper documentation, coordinating with insurance companies, and maintaining billing records. The role ensures transparency, accuracy, and compliance with hospital billing policies.

Key Responsibilities

1. Patient Billing

• Prepare and generate bills for OPD, IPD, diagnostic services, and procedures.
• Verify charges for consultations, investigations, medications, and procedures.
• Ensure accurate entry of patient details and services in the Hospital Information System (HIS).

2. Insurance and TPA Coordination

• Coordinate with insurance companies and Third Party Administrators (TPA) for cashless and reimbursement cases.
• Verify insurance eligibility and authorization before admission or procedures.
• Submit required documents for insurance claims processing.

3. Payment Processing

• Collect payments from patients through cash, card, or digital modes.
• Issue receipts and maintain payment records.
• Ensure proper handling and reconciliation of daily collections.

4. Billing Verification and Documentation

• Verify patient bills for accuracy before final discharge.
• Ensure all services provided are correctly billed and documented.
• Maintain billing records and reports.

5. Patient and Department Coordination

• Coordinate with doctors, nursing staff, pharmacy, and diagnostic departments to confirm services provided.
• Address patient queries regarding billing and payment.

6. Reporting and Compliance

• Prepare daily billing reports and submit them to the accounts department.
• Maintain confidentiality of patient financial information.
• Follow hospital billing policies and financial procedures.