Walk-in | Billing Executive

Malla Reddy Narayana Multispeciality Hospital; Hyderabad; On-site; INR 250,000 - 400,000; Full time

Job summary

Malla Reddy Narayana Multispeciality Hospital is seeking an IP/OP Billing Executive to manage inpatient and outpatient billing, ensuring accurate charges and timely discharge processing. You will work with Nursing, MRD, and doctors to collect charges, apply tariffs, and handle CGHS/TPA and insurance billing, cash collections, and reconciliations in the HIS.

A Bachelor's or Master's degree in business/finance and 1–5 years of hospital billing experience are preferred; freshers with relevant

Qualifications

• Education: Any Bachelor’s or Master’s degree (B.Com, BBA, B.Sc., or related business/finance fields).
• Experience: Typically 1 to 5 years of hands-on hospital billing experience; freshers with active medical coding or billing certifications may be considered for junior or associate roles.

Responsibilities

• Inpatient (IP) Billing: track and compile daily charges throughout a patient’s stay; collect complete charge slips and discharge summaries; manage discharge billing to minimize patient wait times; handle CGHS, ECHS, corporate credit, or TPA billing.
• Outpatient (OP) Billing: register outpatient visits, collect fees, and generate bills for lab tests, radiology, and pharmacy items; ensure proper tariff application and service coding.
• Insurance, TPA & Cashless Claims: verify insurance cards, pre-authorizations; submit bills with medical records; follow up on queries and claim rejections.
• Payments, Collections & Reconciliations: collect payments via various methods; reconcile daily shift collections with HIS; resolve billing disputes.

Education

Bachelor’s or Master’s degree in business/finance

Job description

Job Title: IP / OP Billing

An IP/OP Billing Executive in a hospital manages the generation, verification, and settlement of inpatient (IP) and outpatient (OP) medical bills, handling cash collections, corporate credit, and third-party administrator (TPA) insurance claims.

Job Overview & Role Summary

• Role Title: IP/OP Billing Executive / Billing Officer / Revenue Executive


• Core Objective: Ensure accurate, error-free, and timely preparation of patient bills, smooth discharge processes for admitted patients, and proper reconciliation of cash, card, and insurance/cashless payments.

Key Responsibilities

1. Inpatient (IP) Billing

• Track and compile daily charges throughout a patient's hospital stay, including room rent, ICU charges, doctor consultations, surgical/procedural fees, diagnostics, blood bank, and pharmacy items.


• Coordinate closely with nursing stations, Medical Records Departments (MRD), and treating doctors to collect complete charge slips and discharge summaries prior to final billing.


• Manage the discharge billing process swiftly to minimize patient wait times.


• Handle specialized IP sub-segments like CGHS, ECHS, corporate credit, or TPA insurance billing in compliance with agreed tariff structures.

2. Outpatient (OP) Billing

• Register outpatient visits, collect consultation and registration fees, and generate bills for lab tests, radiology (X-ray, CT, MRI), and pharmacy items dispensed on the same day.


• Ensure proper tariff application and service coding for walk-in or day-care patients.

3. Insurance, TPA & Cashless Claims

• Verify patient insurance cards, policy details, and pre-authorization approvals at admission or during treatment.


• Submit interim and final bills along with medical records to insurance desks or TPA portals.


• Follow up on pending queries, audit objections, short-payments, or claim rejections.

4. Payments, Collections & Reconciliations

• Collect payments via cash, credit/debit card, UPI, or bank transfers and issue official receipts.


• Reconcile daily shift collections with accounts and the Hospital Information System (HIS).


• Resolve billing disputes or grievances raised by patients and family members.

Required Qualifications & Skills

• Education: Any Bachelor's or Master's degree (B.Com, BBA, B.Sc., or related business/finance fields).


• Experience: Typically 1 to 5 years of hands-on hospital billing experience (freshers with active medical coding or billing certifications may be considered for junior or associate roles).

Point of Contact : 6305254582

Email : [e-mail]

Location: Suraram