Billing Executive- CGHS

Nextenti Tech; Hyderabad; On-site; INR 350,000 - 520,000; Full time

Job summary

Nextenti Tech in India is seeking a billing professional to manage CGHS-related billing activities. You will ensure timely submission of claims, perform reconciliations, and collaborate with the finance team to optimize revenue processes.

The candidate should have graduation in any discipline and demonstrated experience in medical billing, insurance claims processing, and healthcare compliance. This role is based in Hyderabad with a focus on accurate, compliant government healthcare billing.

Qualifications

• Graduation in any discipline is acceptable for this role.

Responsibilities

• Manage and process CGHS billing in accordance with hospital policies and government regulations.
• Submit claims accurately and timely to CGHS and follow up on denied claims for resolution.
• Reconcile accounts to align transactions with patient records and financial statements.
• Collaborate with finance to streamline billing processes and improve revenue cycle management.
• Handle patient inquiries related to billing and insurance claims with clear communication.
• Maintain compliance with healthcare regulations and billing standards to minimize errors.
• Review patient billing data for accuracy and CGHS guideline adherence.
• Coordinate with insurance companies to resolve claim disputes efficiently.
• Prepare regular reports on billing activities, account reconciliations, and revenue trends.

Skills

Account Reconciliation

Patient Billing

Billing Systems

Medical Billing Procedures

Insurance Claims Processing

Healthcare Compliance

Revenue Cycle Management

Education

Graduation

Job description

Job Description

Responsibilities

• Manage and process billing activities related to Central Government Health Scheme (CGHS) in accordance with hospital policies and government regulations.
• Ensure accurate and timely submission of claims to CGHS and follow up on pending or denied claims for resolution.
• Reconcile accounts to ensure all transactions align with patient records and financial statements.
• Collaborate with the finance team to streamline billing processes and improve revenue cycle management.
• Handle patient inquiries related to billing and insurance claims, providing clear and effective communication.
• Maintain compliance with healthcare regulations and billing standards to minimize errors and discrepancies.
• Review and verify patient billing data, ensuring accuracy in the billing system and adherence to CGHS guidelines.
• Coordinate with insurance companies and other third-party payers to resolve claim disputes and discrepancies efficiently.
• Prepare regular reports on billing activities, account reconciliations, and revenue trends for management review.

Qualification

Any Graduation

Skills

Account Reconciliation Patient Billing SystemsMedical Billing ProceduresI nsurance Claims ProcessingHealthcare ComplianceRevenue Cycle Management