Executive - Business Development (Collections)

Livasa Hospitals; Mohali; On-site; INR 600,000 - 1,200,000; Full time

Job summary

Livasa Hospitals is seeking a Billing & Collections lead to manage end-to-end recovery from government schemes and insurers, oversee AR aging, and drive denial management with the Billing team.

The role includes process optimization, compliance adherence, and leadership of the billing/collections staff to improve dashboards and payer performance. Collaborative efforts with clinical and operations teams will be essential.

Qualifications

• Data analysis and interpretation to optimize revenue recovery.
• Knowledge of collections laws and regulations.
• Proficiency in using collections software and payer portals.

Responsibilities

• Manage end-to-end collections from PSU, government schemes, and insurance payers.
• Oversee AR ageing and follow up on outstanding claims.
• Coordinate claim submissions, resubmissions, and appeals through payer portals.

Skills

Data analysis

Collections laws

Collections software

Job description

Revenue Recovery:

• Manage end-to-end collections from PSU, government schemes (e.g., ECHS, CGHS, CAPF), and insurance payers
• Oversee accounts receivable (AR) ageing and follow up on outstanding claims
• Controlling the DSO at Benchmark levels/ Targets fixed
• Coordinate claim submissions, resubmissions, and appeals through payer portals

Denial Management:

• Analyse root causes of claim denials and rejections with the help of the Reconciliation and Billing team
• Implement appeal processes and corrective actions for denied claims
• Ensure documentation compliance in Submission and coordinate with Billing

Involvement in Process Optimisation

• Conduct insurance eligibility verification and pre-authorisation
• Integrate with hospital ERP for charge capture for Submission of claims, and billing accuracy
• Develop strategies for recovering aged receivables over the due days

Compliance & Audits

• Maintain adherence to payer-specific rules and regulations.
• Perform regular interaction on claims and billing processes.
• Stay updated on changes in government schemes and insurance policies, and circulate the same among the relevant teams

Team Leadership & Reporting

• Lead and train the billing/collections team on payer procedures
• Review and Responses on dashboards and reports on AR trends and payer performance
• Collaborate with billing, clinical and operations teams for documentation support

Skills & Competencies:

Data analysis, knowledge of collections laws and regulations & Proficiency in using collections software