Medical Billing Executive

Key Responsibilities1\. Patient Billing Operations**Generate accurate bills for OPD, daycare chemotherapy, immunotherapy, targeted therapy, supportive care, procedures, investigations, and pharmacy items.**     Ensure correct mapping of services, consumables, drugs, and professional charges as per approved rate lists.**Prepare interim, final, and discharge bills as applicable.**     Explain bills clearly to patients/attendants and address billing\-related queries politely and professionally.Insurance, TPA \& Corporate Billing**Verify insurance eligibility, policy coverage, sub\-limits, exclusions, and waiting periods.**     Coordinate pre\-authorization requests with TPAs/insurance companies, including documentation and timely follow\-ups.**Ensure billing strictly adheres to approved GIPSA/TPA rate lists and negotiated corporate rates.**     Prepare and submit claims with complete documentation within defined TAT.**Track claim status, respond to queries, and follow up for approvals, enhancements, and settlements.**     Identify discrepancies in settlement letters and escalate for resolution.      Cash \& Credit Management**Collect payments via cash, card, UPI, bank transfer, or cheque as per hospital policy.**     Issue receipts and ensure proper daily cash reconciliation.**Coordinate with accounts for deposit of collections and daily MIS reporting.**     Maintain transparency and prevent underbilling, overbilling, or duplication of charges.. Coordination with Clinical \& Support Teams**Coordinate closely with doctors, nurses, pharmacy, lab, and front desk to ensure all billable services are captured.**     Validate chemotherapy protocols, drug dosages, cycles, and consumables before billing.**Ensure real\-time updates of additional orders or changes in treatment plans.5\. Documentation \& Compliance**     Maintain complete patient billing files (physical and/or digital) with consent forms, approvals, case sheets, and investigation reports.**Ensure compliance with NABH standards (if applicable), insurance norms, and internal SOPs.**     Maintain confidentiality of patient data as per ethical and legal requirements.Reporting \& MIS**Prepare daily billing reports, collection summaries, pending approvals, and outstanding claims.**     Maintain aging reports for receivables and follow up for timely recovery.**Share monthly billing performance data with management.7\. Audit \& Process Improvement**     Support internal and external audits related to billing and insurance claims.**Identify revenue leakages, process gaps, or recurring claim rejections.**     Suggest improvements in billing workflows and documentation.Skills \& CompetenciesTechnical Skills**Strong knowledge of hospital billing processes, insurance, TPAs, and oncology\-specific billing.**     Familiarity with GIPSA rates, CGHS (preferred), and corporate health insurance processes.**Proficiency in hospital management systems (HIS), MS Excel, and basic accounting software.Behavioral Skills**     High attention to detail and accuracy.**Ethical mindset and integrity in financial dealings.**     Good communication skills (Hindi \& English; local language preferred).**Ability to handle sensitive patient interactions with empathy.**     Ability to work under pressure and manage multiple cases simultaneously.Educational Qualifications**Graduate in Commerce / Business Administration / Healthcare Management (preferred).**     Diploma or certification in Medical Billing / Hospital Administration is an added advantage.Experience Requirements**1–5 years of experience in hospital or healthcare billing.**     Prior experience in oncology, day care centres, or insurance\-heavy setups preferred.Key Performance Indicators (KPIs)**Accuracy of billing (minimal errors or rework).**     Timely submission and settlement of insurance claims.**Reduction in claim rejections and discrepancies.**     Daily cash and billing reconciliation accuracy.**Patient satisfaction related to billing clarity.Working Conditions**     Hospital / cancer centre environment.**Shift\-based work may be required depending on patient load.**     Interaction with patients, attendants, TPAs, insurance companies, and internal teams.

Pay: ₹30,616\.42 \- ₹39,292\.19 per month

Work Location: In person