Senior Executive - Billing (RCM)

Paras Health; Gurugram District; On-site; INR 600,000 - 900,000; Full time

Benefits offered by this job

Restaurant discount

Job summary

Paras Health invites applications for a Senior Executive Billing (RCM) to manage hospital billing operations across IPD/OPD, emergency, and day-care services, and to coordinate insurance and TPA activities for cashless and reimbursement cases.

The role requires 3–8 years in hospital billing/RCM, strong knowledge of claims processing, denial management, and proficient use of HIS/HMIS and MS Excel, with a focus on accuracy and timely submissions.

Qualifications

• Graduate degree in commerce, finance, or business administration.
• 3–8 years' experience in hospital billing/RCM.
• Strong knowledge of IPD/OPD, cashless, reimbursement, TPA, and corporate billing.
• Experience in insurance claims processing and denial management.
• Proficiency with HIS/HMIS and MS Excel.

Responsibilities

• Manage end-to-end hospital billing operations for IPD, OPD, emergency, and day-care billing.
• Coordinate with insurers, TPAs, corporate clients, and government health schemes for cashless and reimbursement cases.
• Verify patient eligibility, insurance coverage, approvals, pre-authorizations, and required documentation.
• Ensure timely and accurate preparation and submission of insurance claims and supporting documents.
• Follow up on pending claims, payment delays, deductions, denials, and rejected claims.
• Identify reasons for claim denials and coordinate with concerned departments for corrective actions and resubmission.
• Monitor outstanding payments, ageing reports, unbilled cases, and accounts receivable.
• Reconcile bills, receipts, credit notes, adjustments, and payments received from insurance companies and corporate clients.
• Coordinate with clinical, medical records, front office, finance, and insurance desks to resolve billing discrepancies.
• Ensure accurate application of hospital tariffs, package rates, discounts, and billing policies.
• Prepare daily, weekly, and monthly MIS reports on billing, collections, pending claims, denials, and receivables.
• Maintain proper documentation and ensure adherence to hospital policies, payer guidelines, and applicable regulatory requirements.
• Support internal and external audits related to billing, claims, and revenue cycle processes.

Skills

Hospital billing

Revenue Cycle Management (RCM)

Insurance claims processing

Denial management

Payment follow-ups

Reconciliation

Communication

Stakeholder management

Attention to detail

Regulatory compliance

Education

Bachelor's in Commerce/Finance/Business Administration

Postgraduate in Healthcare Management

Tools

HIS/HMIS

MS Excel

Job description

Job Description: Senior Executive Billing (RCM)

Department: Billing / Revenue Cycle Management (RCM)
Experience: 3-8 Years
Industry: Healthcare / Hospital

Job Summary

We are looking for an experienced Senior Executive Billing (RCM) to manage hospital billing operations, revenue cycle activities, insurance and TPA coordination, claims processing, and payment follow-ups. The candidate will be responsible for ensuring accurate billing, timely claim submissions, minimizing revenue leakage, and maintaining compliance with hospital billing policies.

Key Responsibilities

• Manage end-to-end hospital billing operations, including IPD, OPD, emergency, and day-care billing.
• Handle Revenue Cycle Management (RCM) activities, from patient registration and billing to claim submission, payment reconciliation, and closure.
• Coordinate with insurance companies, TPAs, corporate clients, and government health schemes for cashless and reimbursement cases.
• Verify patient eligibility, insurance coverage, approvals, pre-authorizations, and required documentation.
• Ensure timely and accurate preparation and submission of insurance claims and supporting documents.
• Follow up on pending claims, payment delays, deductions, denials, and rejected claims.
• Identify reasons for claim denials and coordinate with concerned departments for corrective actions and resubmission.
• Monitor outstanding payments, ageing reports, unbilled cases, and accounts receivable.
• Reconcile bills, receipts, credit notes, adjustments, and payments received from insurance companies and corporate clients.
• Coordinate with clinical, medical records, front office, finance, and insurance desks to resolve billing discrepancies.
• Ensure accurate application of hospital tariffs, package rates, discounts, and billing policies.
• Prepare daily, weekly, and monthly MIS reports on billing, collections, pending claims, denials, and receivables.
• Maintain proper documentation and ensure adherence to hospital policies, payer guidelines, and applicable regulatory requirements.
• Support internal and external audits related to billing, claims, and revenue cycle processes.

Educational Qualification

• Graduate in Commerce, Finance, Business Administration, or a related discipline.
• A postgraduate qualification in Healthcare Management or Hospital Administration will be an added advantage.

Required Skills and Competencies

• 3-8 years of relevant experience in hospital billing and Revenue Cycle Management (RCM).
• Strong knowledge of IPD, OPD, emergency, cashless, reimbursement, TPA, and corporate billing.
• Experience in insurance claims processing, denial management, payment follow-ups, and reconciliation.
• Proficiency in hospital information systems (HIS/HMIS) and MS Excel.
• Strong analytical, numerical, and problem-solving skills.
• Good communication, coordination, and stakeholder management abilities.
• Attention to detail, accuracy, and the ability to work under pressure.
• Ability to meet billing, claims submission, and collection timelines.

Preferred Candidate Profile

Candidates with hands‑on experience in the billing or RCM department of a multispecialty hospital will be preferred. Experience in insurance and TPA coordination, receivables management, and claim denial resolution is highly desirable.