Billing Executive cum insurance

Billing Executive cum Insurance ExecutiveJob Title

Billing Executive cum Insurance Executive

Department

Billing \& Insurance

Reports To

Accounts Manager / Hospital Administrator

Job Summary

The Billing Executive cum Insurance Executive is responsible for managing patient billing, insurance claim processing, cash collections, payment reconciliation, and coordination with insurance companies/TPAs. The role ensures accurate billing, timely claim submissions, and efficient resolution of insurance\-related queries.

Key ResponsibilitiesBilling Responsibilities

• Prepare and generate patient bills accurately and promptly.
• Verify patient details, services rendered, and charges before billing.
• Process cash, card, UPI, and online payments.
• Maintain billing records and daily collection reports.
• Handle billing inquiries and resolve discrepancies.
• Coordinate with doctors, nursing staff, and administration for billing clarification.
• Ensure compliance with hospital billing policies and procedures.

Insurance Responsibilities

• Verify patient insurance eligibility and coverage.
• Coordinate with insurance companies and TPAs for pre\-authorizations.
• Prepare and submit insurance claims with required documentation.
• Follow up on claim approvals, rejections, and pending cases.
• Maintain records of claims, approvals, and settlements.
• Assist patients in understanding insurance benefits and claim procedures.
• Resolve insurance\-related issues and claim denials.

Documentation \& Reporting

• Maintain accurate billing and insurance records.
• Prepare periodic reports on collections, claims submitted, approvals, and outstanding payments.
• Ensure confidentiality of patient and financial information.
• Support audits and compliance requirements.

Qualifications

• Bachelor's degree in Commerce, Business Administration, Healthcare Management, or related field.
• Certification in medical billing or health insurance (preferred).

Experience

• 1–3 years of experience in hospital billing, medical billing, or insurance processing.
• Experience handling TPAs and health insurance claims is preferred.

Skills Required

• Knowledge of hospital billing procedures and insurance claim processing.
• Familiarity with billing software, HIS, and MS Office.
• Strong communication and interpersonal skills.
• Attention to detail and accuracy.
• Problem\-solving and follow\-up skills.
• Ability to work under pressure and meet deadlines.

Salary Range (India)

• Fresher: ₹15,000–₹25,000 per month

Pay: ₹20,000\.00 \- ₹25,000\.00 per month

Benefits

• Paid sick time
• Provident Fund

Work Location: In person