Executive / Sr. Executive - Billing

Shalby Hospitals; Ahmedabad District; On-site; INR 400,000 - 550,000; Full time

Job summary

Shalby Hospitals is seeking professionals with hospital billing experience and exposure to billing documentation and claim processes to support government schemes such as CGHS, ECHS, PMJAY and RGHS. The role involves conducting audits, monitoring timelines, and ensuring accurate submission and closure of NMI cases.

The candidate will coordinate for corrections, follow up on resubmissions, and identify gaps to improve claim realization across Shalby hospitals.

Qualifications

• Hospital billing experience with exposure to billing documentation and claim processes.
• Core Experience in hospital billing - Government Schemes (CGHS, ECHS, PMJAY, RGHS, etc.)

Responsibilities

• Conduct billing sample audits across all Shalby hospitals.
• Monitor file submission timelines and compliance.
• Track and follow up on NMI cases and closure documentation.
• Ensure proper documentation submission and coordinate for corrections.
• Follow up on resubmissions and closure of pending cases.
• Identify process gaps and support corrective actions to minimize deductions and improve claim realization.

Skills

Hospital billing

Government schemes

Job description

Experience:Hospital billing experience with exposure to billing documentation and claim processes.

• Core Experience in hospital billing - Government Schemes (CGHS, ECHS, PMJAY, RGHS, etc.)

Key Responsibilities:

• Conduct billing sample audits across all Shalby hospitals.
• Monitor file submission timelines and compliance.
• Track and follow up on NMI cases and closure documentation.
• Ensure proper documentation submission and coordinate for corrections.
• Follow up on resubmissions and closure of pending cases.
• Identify process gaps and support corrective actions to minimize deductions and improve claim realization.