Executive -Finance

Medanta Ranchi,Jharkhand; Ranchi; On-site; INR 250,000 - 400,000; Full time

Job summary

Medanta Ranchi is seeking a billing specialist to manage patient billing for OPD/IPD, ensure accuracy of charges, and coordinate with insurers for claims.

The role involves cashless and reimbursement processing, documentation, and patient query resolution in a hospital setting. Minimum 2 years in TPA/ECHS/CGHS/Ayushman is preferred.

Qualifications

• Graduation or MBA with strong computer skills.
• Minimum 2 years experience in TPA/ECHS/CGHS/Ayushman in a reputed hospital.

Responsibilities

• Generate accurate patient bills (OPD/IPD cases).
• Handle billing for procedures, lab tests, pharmacy, and room charges.
• Verify patient details and services before final billing.
• Coordinate with insurance providers / TPAs / Ayushman /PSUs etc.
• Prepare and submit insurance claims.
• Handle cashless and reimbursement cases.
• Follow up on claim approvals and rejections.
• Collect payments (cash, card, online).
• Maintain billing records and receipts.
• Reconcile daily collections.
• Ensure proper documentation for billing and insurance.
• Maintain patient billing records securely.
• Follow hospital policies and healthcare regulations.
• Explain bills and charges to patients/attendants.
• Resolve billing-related queries or disputes.
• Assist with insurance-related questions.
• Prepare all credit bill (IPD & OPD) along with supporting documents, reports, referral letter etc. for audit and timely submission to the customer within the TAT timeline defined as per the payer group.
• Co-ordinate with all inter department for timely submission of bills, reports, inplant bills, stickers, pouches etc. for bill dispatch.
• Any other duties assigned by the HOD/ Manager/Supervisor

Skills

Billing

Invoicing

Insurance processing

Education

MBA

Graduate

Job description

Role & responsibilities

Billing & Invoicing

• Generate accurate patient bills (OPD/IPD cases)
• Handle billing for procedures, lab tests, pharmacy, and room charges
• Verify patient details and services before final billing

Insurance & Claims Processing

• Coordinate with insurance providers / TPAs/ Ayushman /PSUs etc.
• Prepare and submit insurance claims
• Handle cashless and reimbursement cases
• Follow up on claim approvals and rejections

Payment Management

• Collect payments (cash, card, online)
• Maintain billing records and receipts
• Reconcile daily collections

Documentation & Compliance

• Ensure proper documentation for billing and insurance
• Maintain patient billing records securely
• Follow hospital policies and healthcare regulations

Patient Coordination

• Explain bills and charges to patients/attendants
• Resolve billing-related queries or disputes
• Assist with insurance-related questions

Dispatch Management

• Prepare all credit bill (IPD & OPD) along with supporting documents, reports, referral letter etc. for audit and timely submission to the customer within the TAT timeline defined as per the payer group.
• Co-ordinate with all inter department for timely submission of bills, reports, inplant bills, stickers, pouches etc. for bill dispatch.
• Any other duties assigned by the HOD/ Manager/Supervisor

Preferred candidate profile

Graduate /MBA with good computer skills and a minimum of 2 years experience in TPA/ECHS/CGHS/Ayushman in a reputed hospital.