Billing Specialist

Shri Khatu Shyam Healthcare; Delhi; On-site; INR 350,000 - 480,000; Full time

Job summary

Shri Khatu Shyam Healthcare in Delhi seeks a Billing & Claims Executive to manage Ayushman Bharat/PM-JAY billing and claims end-to-end. You will verify eligibility, prepare pre-authorizations, and coordinate with Ayushman/TPA portals to obtain approvals, while ensuring accurate Hospital/Medical billing and timely submissions.

The role requires 2+ years of Ayushman billing experience, hospital exposure, strong communication and computer skills, and thorough knowledge of Ayushman processes.

Qualifications

• Minimum 2 years of relevant experience in Ayushman billing.
• Hospital experience preferred.
• Good knowledge of Ayushman portal and claim process.
• Good communication and computer skills.
• Candidates with relevant hospital billing experience will be preferred.

Responsibilities

• Handle Ayushman Bharat / PM-JAY billing and claim processing.
• Prepare and submit pre-authorization and claim documents.
• Verify patient eligibility and required documents.
• Coordinate with Ayushman/TPA portals for approvals and queries.
• Ensure accurate billing and timely submission of claims.
• Handle claim discrepancies, queries, rejections and follow-ups.
• Coordinate with the Billing, MRD, Medical and Nursing departments.
• Maintain proper records of Ayushman patients and submitted claims.
• Ensure compliance with applicable Ayushman billing guidelines and hospital procedures.

Skills

Ayushman Billing

PM-JAY

TPA Billing

Pre-Authorization

Claim Processing

Hospital Billing

Medical Billing

Documentation

MS Office

Tools

MS Office

Ayushman Portal

Job description

Position: Billing & Claims Executive

Department: Billing

Location: Rohini, Delhi

Job Responsibilities:

• Handle Ayushman Bharat / PM-JAY billing and claim processing.
• Prepare and submit pre-authorization and claim documents.
• Verify patient eligibility and required documents.
• Coordinate with Ayushman/TPA portals for approvals and queries.
• Ensure accurate billing and timely submission of claims.
• Handle claim discrepancies, queries, rejections and follow-ups.
• Coordinate with the Billing, MRD, Medical and Nursing departments.
• Maintain proper records of Ayushman patients and submitted claims.
• Ensure compliance with applicable Ayushman billing guidelines and hospital procedures.

Eligibility:

• Minimum 2 years of relevant experience in Ayushman billing.
• Hospital experience preferred.
• Good knowledge of Ayushman portal and claim process.
• Good communication and computer skills.
• Candidates with relevant hospital billing experience will be preferred.

Key Skills:

Ayushman Billing, PM-JAY, TPA Billing, Pre-Authorization, Claim Processing, Hospital Billing, Medical Billing, Documentation, MS Office.