Job Opening For Billing position - Ruby Hall Clinic - Hinjawadi

Ruby Hall Clinic (RHC); Pune District; On-site; INR 600,000 - 900,000; Full time

Job summary

Ruby Hall Clinic (RHC) seeks an experienced Billing Supervisor to lead the medical billing and coding team in Pune. You will oversee claim submissions to payers, monitor AR and denials, and coordinate with clinical departments to ensure accurate charge capture.

The ideal candidate has 5–10 years in healthcare revenue cycle management, with leadership experience and a strong grasp of hospital billing software and HIS/EMR systems. Competitive perks offered.

Qualifications

• 5 to 10 years of experience in medical billing, hospital billing, or healthcare revenue cycle management.
• Prior supervisory or team leadership experience preferred.
• Bachelor’s degree in Finance, Accounting, Healthcare Administration, Business Administration, or related field.

Responsibilities

• Supervise, train, mentor, and evaluate billing and coding personnel.
• Monitor team performance and ensure adherence to billing standards and departmental KPIs.
• Conduct regular training sessions to enhance staff knowledge and productivity.
• Oversee the timely submission of electronic and paper claims to insurance payers; review claim accuracy to minimize denials and delays.
• Coordinate with nursing, pharmacy, diagnostics, and other clinical departments to ensure accurate charge capture and documentation.
• Address patient billing inquiries and insurance-related disputes professionally.
• Ensure all billing operations comply with healthcare regulations and privacy laws; conduct audits for accuracy and compliance.

Skills

Team leadership

Billing & coding knowledge

Customer service

Attention to detail

Education

Bachelor's degree in Finance/Healthcare Administration

Tools

Hospital billing software

HIS/EMR systems

Insurance claim processing

Job description

Roles and Responsibilities

Team Leadership

• Supervise, train, mentor, and evaluate billing and coding personnel.
• Monitor team performance and ensure adherence to billing standards and departmental KPIs.
• Conduct regular training sessions to enhance staff knowledge and productivity.

Claim Management

• Oversee the timely submission of electronic and paper claims to insurance companies, TPAs, and other payers.
• Review claim accuracy before submission to minimize denials and payment delays.
• Ensure compliance with payer-specific billing requirements.

Revenue Cycle Management

• Monitor Accounts Receivable (AR) and follow up on outstanding claims.
• Analyze claim denials and coordinate appeals, corrections, and resubmissions.
• Generate and review revenue cycle reports to identify trends and improvement opportunities.

Department Coordination

• Collaborate with nursing, pharmacy, diagnostics, and other clinical departments to ensure accurate charge capture and documentation.
• Resolve discrepancies related to billing, coding, and insurance claims.

Patient & Insurance Support

• Address patient billing inquiries and insurance-related disputes professionally and efficiently.
• Maintain high standards of customer service while resolving financial concerns.

Compliance & Quality Assurance

• Ensure all billing operations comply with healthcare regulations, insurance contracts, privacy laws, and organizational policies.
• Conduct periodic audits to ensure billing accuracy and regulatory compliance.

Requirements & Qualifications

Education

• Bachelors degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.

Experience

• 5 to 10 years of experience in medical billing, hospital billing, or healthcare revenue cycle management.
• Prior supervisory or team leadership experience preferred.

Technical Knowledge

• Strong understanding of medical terminology and other applicable systems.
• Familiarity with hospital billing software, HIS/EMR systems, and insurance claim processing.

Perks and Benefits

As per company standards.