Senior Associate

Manipal Health Enterprises; Pune District; On-site; INR 420,000 - 700,000; Full time

Job summary

Manipal Hospital Kharadi-Pune is seeking an experienced Senior Associate to join the Admission & Billing Department. The individual will oversee the smooth, accurate, and compliant processing of inpatient admissions and related billing, ensuring high standards of patient service and revenue integrity.

Responsibilities include IPD & OPD admission management, complex IPD billing, pre-authorization with TPAs, financial counseling to patients, and mentoring junior staff.

Qualifications

• Admission management for IPD/OPD and accurate demographic/financial data entry into HIS.
• IPD billing cycles management, discharge summary verification, final bill generation.

Responsibilities

• Oversee admission process for planned, emergency, and daycare patients.
• Ensure all legal/medical documents are obtained and filed.
• Coordinate with nursing/bed management for timely patient placement.
• Manage IPD billing, interim billing, and final bill generation with accuracy.
• Ensure charges align with cash, insurance, and corporate schemes; audit to prevent leakage.
• Facilitate smooth discharge with clear financial explanations and settlement.
• Oversee pre-authorization with TPAs and insurance; pursue timely approvals.
• Provide empathetic financial counseling on costs, options, coverage, and co-pays.
• Resolve complex patient/TPA queries and discrepancies professionally.
• Mentor junior associates in admissions, billing, and counseling protocols.
• Identify bottlenecks and propose workflow improvements; report metrics to management.

Skills

Billing

IPD Billing

Patient Counselling

Healthcare

Job description

Manipal Hospital Kharadi-Pune is seeking an organized, experienced, and patient-focusedSenior Associateto join the Admission & Billing Department. The individual will be responsible for overseeing the smooth, accurate, and compliant processing of both inpatient (IPD)

This role requires advanced expertise in healthcare billing procedures, insurance/TPA coordination, and the ability to provide clear, empathetic financial counseling to patients and their families. The Senior Associate will act as a mentor to junior team members and manage complex billing scenarios, ensuring high standards of patient satisfaction and revenue integrity.

Mandatory Skills

Billing, Ipd Billing, Patient Counselling, Healthcare

Location

Pune

I. IPD & OPD Admission Management

Admission Process Oversight:Supervise and manage the complete admission process for all patients (Planned, Emergency, and Daycare), ensuring timely and accurate entry of patient demographic and financial data into the Hospital Information System (HIS).

Documentation Check:Ensure all required legal and medical documentation (Consent forms, Doctor's orders, ID proofs) are correctly obtained and filed during the admission process.

Bed Management Coordination:Coordinate proactively with the nursing and bed management teams to ensure efficient patient placement.

II. Advanced Billing and Revenue Integrity

IPD Billing Management:Manage complex IPD billing cycles, including interim billing, discharge summary verification, and final bill generation, ensuring all services, consumables, and drugs are accurately captured and billed.

Rate & Charge Compliance:Ensure billing is executed as per agreed-upon rates for cash, insurance, and corporate schemes; perform regular audits of charges to prevent revenue leakage.

Discharge Process:Facilitate a smooth financial clearance process during patient discharge, ensuring the final bill is explained clearly and settled promptly.

III. Insurance, TPA, and Financial Counseling

Pre-Authorization:Oversee the submission of pre-authorization requests to various TPAs (Third-Party Administrators) and insurance companies; follow up aggressively to secure timely approvals.

Financial Counseling:Provide detailed and empathetic financial counseling to patients regarding their estimated costs, available payment options, insurance coverage limitations, and co-pay requirements.

Query Resolution:Handle and resolve complex patient and TPA billing queries, denials, and discrepancies with professionalism, ensuring the hospital's financial integrity while maintaining patient trust.

IV. Leadership and Team Support

Team Mentorship:Provide training and mentorship to junior Associates in admissions, billing, and patient counseling protocols, ensuring consistency and accuracy across the team.

Process Improvement:Identify bottlenecks and suggest improvements in the admission, counseling, and billing workflows to enhance efficiency and patient satisfaction scores.

Reporting:Prepare daily, weekly, and monthly reports related to admissions volume, billing status, collections, and outstanding pre-authorizations for the management team.