Billing Manager

Shalby Hospitals; Indore District; On-site; INR 600,000 - 800,000; Full time

Job summary

Shalby Hospitals is seeking a Billing Head responsible for managing the complete billing function of the hospital. This role includes monitoring accurate billing for IPD, OPD, and daycare services, coordinating with teams for claims, and ensuring compliance with hospital policies.

The ideal candidate will possess strong knowledge in hospital billing, team leadership capabilities, and excellent analytical skills.

Qualifications

• Strong knowledge of hospital billing and revenue cycle management.
• Expertise in TPA, CGHS, ECHS, PMJAY billing processes.
• Ability to manage billing audits and revenue leakage.

Responsibilities

• Manage complete billing function of the hospital unit.
• Ensure accurate and timely billing for IPD, OPD, daycare services.
• Coordinate with internal departments for claim submission.

Skills

Hospital Billing & Revenue Cycle

TPA / CGHS / ECHS / PMJAY billing

Hospital tariffs understanding

Revenue leakage control

Team leadership

Analytical skills

Communication skills

Job description

Job Summary

The Billing Head will be responsible for managing the complete billing function of the hospital unit, ensuring accurate and timely billing, effective coordination with internal departments and TPAs/government schemes, and strong control over revenue realization and billing processes.

Key Responsibilities

• Lead and manage the overall hospital billing operations for the unit.
• Ensure accurate and timely billing for IPD, OPD, daycare and other hospital services.
• Manage billing under TPA, CGHS, ECHS, PMJAY, RGHS and other government/corporate schemes.
• Ensure proper documentation, authorization, package applicability and tariff adherence.
• Monitor billing errors, deductions, rejections and pending bills and take corrective actions.
• Coordinate with Insurance/TPA, Corporate, Government Scheme and Finance teams for timely claim submission and settlement.
• Monitor unbilled revenue, outstanding bills and revenue leakage.
• Ensure compliance with approved hospital tariffs, packages, discounts and billing policies.
• Conduct regular billing audits and identify process gaps and revenue leakage.
• Prepare and review billing MIS and performance reports for management.
• Lead, train and monitor the billing team to ensure efficiency and service quality.
• Coordinate with Clinical, Nursing, Pharmacy, Diagnostics, Front Office and Finance teams for smooth billing operations.
• Handle and resolve billing-related patient queries, escalations and disputes.
• Ensure adherence to hospital policies, statutory requirements and internal controls.
• Drive process improvement and automation initiatives within the billing function.

Key Skills

• Strong knowledge of Hospital Billing & Revenue Cycle Management
• Expertise in TPA / CGHS / ECHS / PMJAY / RGHS billing
• Strong understanding of hospital tariffs, packages and insurance processes
• Billing audit and revenue leakage control
• Team leadership and people managementStrong analytical and MIS skills
• Good communication and stakeholder-management skills.