Billing Incharge

Manipal Hospitals; Siliguri; Sur place; INR 600 000 - 900 000; Plein temps

Résumé du poste

Manipal Hospitals is seeking a skilled billing professional to manage patient billing, insurance claims, and cash collections in a high-volume hospital setting. The role requires ensuring accurate invoicing, revenue integrity, and cross-department coordination to support discharge processes and audits.

The candidate will lead a billing team, implement controls to prevent revenue leakage, and deliver timely MIS reports to management.

Qualifications

• Experience in hospital billing, invoicing, and patient statements.
• Knowledge of insurance and TPA claim processes.
• Strong attention to accuracy and revenue leakage prevention.
• Ability to supervise billing staff and allocate tasks.
• Familiarity with financial reconciliation and audits.
• Ensure compliance with healthcare billing regulations.
• Coordinate cross-department billing and discharge processes.

Responsabilités

• Prepare accurate bills for consultations, procedures, surgeries, diagnostics, and room charges.
• Verify services captured in the billing system and generate invoices/receipts.
• Coordinate with insurance/TPA for cashless and reimbursement claims.
• Monitor collections and reconcile daily receipts with accounts.
• Conduct regular billing audits to prevent revenue leakage.
• Lead discharge billing with multi-department coordination.
• Prepare MIS reports on billing, collections, and revenue by department.
• Ensure compliance with tariffs, approvals, and regulatory requirements.

Connaissances

Billing & Invoicing

Insurance Claims

Cash Management

Team Leadership

MIS Reporting

Description du poste

• Patient Billing & Invoicing
  
  • Prepare accurate bills for consultations, procedures, surgeries, diagnostics, pharmacy, room charges, and other services.
  • Verify that all services provided are correctly captured in the billing system.
  • Generate invoices, receipts, credit notes, and refunds as required.
• Insurance & TPA Billing
  
  • Coordinate with insurance companies and TPAs for cashless and reimbursement claims.
  • Verify insurance eligibility, approvals, coverage limits, and documentation.
  • Prepare and submit claims within prescribed timelines.
  • Follow up on rejected, pending, or short-settled claims.
• Cash & Collection Management
  
  • Supervise daily cash, card, UPI, bank-transfer, and other collections.
  • Ensure proper receipt issuance and reconciliation of collections.
  • Monitor outstanding patient and corporate/insurance receivables.
  • Coordinate with accounts/finance for daily cash and billing reconciliation.
• Billing Accuracy & Revenue Control
  
  • Check tariff rates, discounts, packages, deposits, and adjustments.
  • Ensure no revenue leakage due to missed or incorrectly billed services.
  • Review cancelled bills, refunds, discounts, and manual adjustments.
  • Conduct regular billing audits and correct discrepancies.
• Discharge Billing
  
  • Coordinate with nursing, pharmacy, laboratory, diagnostics, OT, and other departments to ensure all services are posted before discharge.
  • Prepare final bills and ensure required approvals are obtained.
  • Explain billing details and settlement requirements to patients/attendants.
• Team Management
  
  • Supervise billing executives/cashiers and allocate daily responsibilities.
  • Train staff on billing procedures, software, tariffs, insurance processes, and customer service.
  • Monitor staff performance, attendance, productivity, and accuracy.
• MIS & Reporting
  
  • Prepare daily/monthly reports on:
    
    • Total billing
    • Collections
    • Outstanding amounts
    • Insurance/TPA claims
    • Rejections and deductions
    • Refunds and discounts
    • Department-wise revenue
  • Submit reports to management/accounts/finance.
• Coordination with Other Departments
  
  • Work closely with Accounts, Finance, Front Office, Medical Records, Pharmacy, Laboratory, Radiology, Nursing, and Operations.
  • Resolve billing-related discrepancies and patient complaints.
  • Coordinate with doctors and departments when clarification is required regarding procedures or charges.
• Compliance & Documentation
  
  • Ensure billing follows hospital policies, approved tariffs, insurance requirements, and applicable healthcare/tax regulations.
  • Maintain proper records of bills, receipts, approvals, refunds, and claims.
  • Ensure confidentiality and appropriate handling of patient financial information.