Role Overview

The Senior Manager - Accounts will be responsible for ensuring accurate financial accounting, timely reporting, statutory compliance, budgeting, cash-flow management, internal controls, audit coordination, and effective financial monitoring of hospital operations. The role requires strong knowledge of accounting principles and financial controls, along with a sound understanding of hospital revenue cycles, insurance/TPA billing, patient collections, pharmacy, diagnostics, procurement, and other healthcare financial processes. The position will also play a key role in ensuring financial accuracy, effective monitoring, regulatory compliance, and timely financial insights to support informed business decisions.

Key Responsibilities

1. Financial Accounting & Reporting

Supervise and oversee day-to-day accounting operations, including OPD and IPD Billing, Accounts Payable, Accounts Receivable, General Ledger, bank reconciliations, journal entries and provisions.

Ensure accurate and timely monthly, quarterly and annual financial closing in accordance with applicable accounting standards and organizational policies.

Review Trial Balance, Profit & Loss Account, Balance Sheet, Cash Flow Statements and other financial reports.

Ensure proper accounting and reconciliation of hospital revenue, expenses, assets, liabilities and provisions.

Prepare and review monthly MIS, management reports, profitability analysis and financial dashboards.

Monitor outstanding receivables and payables and ensure timely reconciliation and follow-up.

Identify accounting discrepancies and ensure timely resolution.

2. Hospital Revenue Cycle & Collection Management

Monitor and review revenue generated from IPD, OPD, diagnostics, pharmacy, OT, ICU and other hospital services.

Ensure reconciliation between hospital billing systems, operational records and accounting books.

Monitor patient collections through cash, card, UPI, online and other payment modes.

Review insurance and TPA receivables and coordinate with the relevant teams to ensure timely claim submission, follow-up and settlement.

Monitor credit billing, discounts, refunds, cancellations, write-offs and other revenue adjustments.

Analyse revenue trends and identify revenue leakages, billing gaps and process inefficiencies.

Strengthen controls across the hospital revenue cycle to improve billing accuracy, collections and overall revenue realisation.

Monitor ageing of patient, corporate, insurance and TPA receivables and drive timely collection.

3. Budgeting, Planning & Financial Analysis

Assist management in the preparation of annual budgets, operating plans and financial projections.

Prepare and monitor departmental budgets and analyse actual performance against approved budgets.

Conduct variance analysis and provide insights and corrective-action recommendations to management.

Support financial forecasting and cash-flow planning.

Identify opportunities for cost optimisation and improvement in operational profitability.

Provide financial inputs for pricing, service-line profitability and other business decisions.

4. Statutory Compliance

Ensure timely compliance with applicable GST, TDS, Income Tax, PF, ESIC and other statutory requirements.

Ensure timely preparation, review and filing of statutory returns and related documentation.

Coordinate with tax consultants, auditors and external professionals as required.

Maintain accurate records and documentation to support statutory compliance.

Monitor changes in applicable statutory and regulatory requirements and ensure necessary implementation.

5. Audit & Internal Controls

Coordinate internal, statutory and tax audits and ensure timely closure of audit requirements.

Prepare audit schedules, supporting documents and responses to audit observations.

Strengthen internal financial controls and ensure adherence to approved policies, SOPs and processes.

Conduct periodic internal reviews of financial and operational processes to identify control gaps, errors, process deviations and potential revenue leakages.

Ensure appropriate authorisation, supporting documentation and segregation of duties for financial transactions.

Conduct periodic financial and process audits of key hospital departments, including Pharmacy, Stores, Billing and other revenue-generating or expenditure-related functions.

Track audit observations and ensure timely implementation of corrective and preventive actions.

6. Cash Flow & Treasury Management

Monitor daily cash and bank positions and assess working-capital requirements.

Prepare and monitor short-term and periodic cash-flow forecasts.

Ensure adequate availability of funds for day-to-day hospital operations.

Monitor bank accounts and ensure timely bank reconciliations.

Review cash collections and deposits and ensure appropriate controls over cash handling.

Coordinate with banks and financial institutions as required.

7. Vendor, Payable & Procurement Accounting

Review vendor invoices, purchase-related accounting and payment processes.

Ensure timely reconciliation of vendor accounts and resolution of discrepancies.

Monitor outstanding vendor balances and payment schedules.

Work closely with Purchase, Stores and Administration teams to strengt

Senior Manager Accounts