IP Billing &Insurance

Cytecare Hospitals; Bengaluru; On-site; INR 600,000 - 900,000; Full time

Job summary

Cytecare Hospitals in Bengaluru is seeking an experienced Billing Manager to oversee OP and IP billing operations. You will supervise billing teams, ensure accurate patient invoicing, and coordinate with insurance providers to secure timely payments.

The role requires meticulous attention to coding (ICD/CPT), strong reporting skills, and leadership to train staff, monitor KPIs, and drive process improvements across the billing cycle.

Qualifications

• B.com, BBA, or any graduation as minimum education.
• Experience in hospital billing and insurance processes preferred.
• Strong communication and leadership abilities.

Responsibilities

• Supervise and manage OP & IP billing teams.
• Ensure accurate and timely generation of patient bills.
• Monitor daily billing activities, reconciliations, and cash collection.
• Validate ICD/CPT coding and pricing per policy.
• Generate and present collection reports to senior leadership.
• Analyze aging reports and propose corrective actions.
• Coordinate with TPA/insurance representatives for seamless operations.
• Lead and train billing team; conduct performance reviews.
• Maintain SOPs and documentation; support audits.
• Liaise with clinicians, patient service departments, and finance.

Skills

Passion for Excellence

Results Orientation

Communication Skills

Customer Focus

Education

B.Com / BBA / Any graduation

Job description

• Supervise and manage OP & IP billing teams.
• Ensure accurate and timely generation of patient bills.
• Monitor daily billing activities, reconciliations, and cash collection.
• Validate service coding (ICD/CPT) and pricing in accordance with policies.
• Generate and present daily, weekly, and monthly collection reports to senior leadership.
• Analyze aging reports, highlight trends, and propose corrective actions.
• Insurance Coordination & Claims Processing
• Oversee pre-authorization, insurance eligibility verification, and approvals.
• Supervise submission of insurance claims and monitor turnaround times.
• Follow up on pending claims and coordinate with insurers for settlement.
• Address claim rejections, denials, and initiate appeals as necessary.
• Compliance & Documentation
• Ensure compliance with medical billing regulations and insurer requirements.
• Maintain accurate documentation of billing and insurance communications.
• Stay updated with changes in insurance guidelines and tariff revisions.
• Team Management
• Lead and train billing and insurance team members.
• Conduct regular performance reviews and feedback sessions.
• Allocate work schedules and ensure staffing coverage.
• Reporting & Audit
• Generate and analyze daily/weekly/monthly billing and collection reports.
• Support internal and external audits by providing necessary documentation.
• Monitor KPIs such as billing accuracy, claim rejection rate, and AR days.
• Maintain complete documentation of communication and collection efforts.
• Regularly review and update SOPs to reflect current best practices.
• Stakeholder Coordination
• Liaise with clinicians, patient service departments, and finance teams.
• Address patient concerns related to billing or insurance coverage.

Coordinate with TPA/insurance representatives for seamless operations.

Qualifications

B.com,BBA,Any graduation

Must have skills

• Passion for Excellence
• Results Orientation
• Communication Skills
• Customer Focus

Good to have skills

• Building Relationships
• Leadership & Influencing
• Problem Solving and Decision Making