Billing Executive

Position: Billing Executive

Industry: Healthcare / Hospital

Location: Bangalore, Karnataka

Department: Billing & Patient Accounts

Reporting To: Billing Supervisor / Accounts Manager / Hospital Administrator

Job Summary

We are seeking a detail-oriented and customer-focused Billing Executive to manage patient billing, insurance coordination, cash collections, and billing documentation. The ideal candidate should have experience in hospital billing systems, strong communication skills, and the ability to maintain accuracy while delivering excellent patient service.

Key Responsibilities

Patient Billing

Generate accurate inpatient (IP), outpatient (OP), emergency, and day-care bills.
Verify consultation charges, diagnostic tests, pharmacy bills, procedures, and room charges before bill generation.
Ensure all services provided are accurately captured in the billing system.

Cash & Payment Management

Collect payments through cash, cards, UPI, NEFT/RTGS, and other approved payment methods.
Issue receipts and maintain daily cash collection records.
Perform cash reconciliation and prepare end-of-day reports.

Insurance & TPA Coordination

Coordinate with insurance companies and Third-Party Administrators (TPAs) for cashless approvals and claim processing.
Verify insurance eligibility and policy details.
Prepare and submit billing documents required for insurance claims.

Billing Verification

Review patient records and billing details for completeness and accuracy.
Correct billing discrepancies in coordination with the concerned departments.
Ensure compliance with hospital billing policies.

Customer Service

Explain hospital bills and payment procedures to patients and attendants.
Resolve billing-related queries professionally and courteously.
Maintain patient confidentiality at all times.

Documentation & Reporting

Maintain billing records, invoices, receipts, and supporting documents.
Generate daily, weekly, and monthly billing reports.
Assist in internal and external audits when required.

Compliance

Follow hospital policies, accounting procedures, and statutory requirements.
Ensure compliance with applicable healthcare regulations and data privacy standards.

Eligibility

Educational Qualification

Bachelor's Degree in Commerce, Business Administration, Healthcare Management, or any relevant discipline.
Diploma or certification in Hospital Administration, Medical Billing, or Healthcare Management is an added advantage.

Experience

1–3 years of experience in hospital billing, healthcare administration, medical billing, or patient accounts.
Fresh graduates with relevant training may also be considered.

Required Skills

Knowledge of hospital billing procedures.
Experience with Hospital Information Systems (HIS) or Hospital Management Systems (HMS).
Basic understanding of insurance and TPA billing processes.
Good communication and customer service skills.
Strong numerical accuracy and attention to detail.
Proficiency in MS Office (Excel, Word) and billing software.
Ability to work in rotational shifts if required.

Key Performance Indicators (KPIs)

Accuracy of billing.
Timely bill generation and collections.
Patient satisfaction with billing services.
Reduction in billing errors.
Timely insurance claim documentation.
Daily cash reconciliation accuracy.
Compliance with hospital billing procedures.

Preferred Candidate Profile

Experience in a multispecialty hospital or healthcare institution.
Knowledge of insurance claim processing and TPA procedures.
Strong interpersonal and problem-solving skills.
Ability to work efficiently in a fast-paced hospital environment.

Salary & Benefits

Competitive salary based on experience.
Provident Fund (PF) and ESI (as applicable).
Medical insurance and employee healthcare benefits.
Paid leave and statutory benefits.
Training and career growth opportunities.
Performance-based incentives (where applicable).

Billing Executive - Hospital