Job Overview
The Sr. Executive/ Executive – Billing will be responsible for executing accurate registration, admission, billing, authorization, and discharge processes for Cash, TPA, Corporate, PSU, CGHS & ECHS patients, ensuring proper tariff application, documentation compliance, and smooth patient billing operations as per hospital SOPs and payer guidelines.
Key Responsibilities
- Handle patient registration, admission, transfer, discharge, and billing activities for all payer categories.
- Process OPD/IPD billing including consultation, procedures, investigations, pharmacy, packages, and miscellaneous services.
- Perform daily IPD charge posting and ensure timely updating of all consumables, procedures, and service charges in HIS.
- Verify patient category, tariff, package eligibility, approvals, co-payment, and credit authorization before billing.
- Coordinate with TPA/Corporate/CGHS/ECHS teams for approvals, documentation, and billing compliance.
- Ensure accurate discharge billing, final bill preparation, payment collection, and billing clearance within defined TAT.
- Handle co-payment, non-payable, advance adjustment, refunds, and patient liabilities accurately.
- Maintain complete billing documentation, approvals, undertaking forms, and patient records as per audit requirements.
- Resolve billing discrepancies, corrections, and patient billing queries in coordination with clinical and support departments.
- Ensure compliance with hospital billing SOPs, NABH standards, insurance guidelines, and statutory requirements.
- Generate daily billing reports, pending cases, discharge status, and audit-related MIS.
- Use HIS effectively for registration, billing, receipts, approvals, discharge processing, and report generation.
Required Qualification & Skills
- Graduate preferably in Commerce / Healthcare / Hospital Management.
- Minimum 3 years of experience in hospital billing operations, preferably in multi-specialty hospital.
- Basic knowledge of hospital billing, RCM, and payer processes.
- Understanding of Cash, TPA, Insurance, Corporate, PSU, CGHS & ECHS billing.
- Hands-on experience in Hospital Information System (HIS).
- Good communication, coordination, and patient handling skills.
- Basic computer, MS Excel, and documentation knowledge.
- Ability to work in rotational shifts and under pressure.
Top of Form
Remuneration: As per industry standards
Why Join Us: At Sant Nirankari Health City, we offer a collaborative and supportive work environment where your contributions are valued and recognized. Join us in our mission to deliver exceptional healthcare services while upholding the highest standards of quality and patient care.
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