Billing Incharge

Job description

• Patient Billing & Invoicing • Prepare accurate bills for consultations, procedures, surgeries, diagnostics, pharmacy, room charges, and other services. • Verify that all services provided are correctly captured in the billing system. • Generate invoices, receipts, credit notes, and refunds as required. • Insurance & TPA Billing • Coordinate with insurance companies and TPAs for cashless and reimbursement claims. • Verify insurance eligibility, approvals, coverage limits, and documentation. • Prepare and submit claims within prescribed timelines. • Follow up on rejected, pending, or short-settled claims. • Cash & Collection Management • Supervise daily cash, card, UPI, bank-transfer, and other collections. • Ensure proper receipt issuance and reconciliation of collections. • Monitor outstanding patient and corporate/insurance receivables. • Coordinate with accounts/finance for daily cash and billing reconciliation. • Billing Accuracy & Revenue Control • Check tariff rates, discounts, packages, deposits, and adjustments. • Ensure no revenue leakage due to missed or incorrectly billed services. • Review cancelled bills, refunds, discounts, and manual adjustments. • Conduct regular billing audits and correct discrepancies. • Discharge Billing • Coordinate with nursing, pharmacy, laboratory, diagnostics, OT, and other departments to ensure all services are posted before discharge. • Prepare final bills and ensure required approvals are obtained. • Explain billing details and settlement requirements to patients/attendants. • Team Management • Supervise billing executives/cashiers and allocate daily responsibilities. • Train staff on billing procedures, software, tariffs, insurance processes, and customer service. • Monitor staff performance, attendance, productivity, and accuracy. • MIS & Reporting • Prepare daily/monthly reports on: • Total billing • Collections • Outstanding amounts • Insurance/TPA claims • Rejections and deductions • Refunds and discounts • Department-wise revenue • Submit reports to management/accounts/finance. • Coordination with Other Departments • Work closely with Accounts, Finance, Front Office, Medical Records, Pharmacy, Laboratory, Radiology, Nursing, and Operations. • Resolve billing-related discrepancies and patient complaints. • Coordinate with doctors and departments when clarification is required regarding procedures or charges. • Compliance & Documentation • Ensure billing follows hospital policies, approved tariffs, insurance requirements, and applicable healthcare/tax regulations. • Maintain proper records of bills, receipts, approvals, refunds, and claims. • Ensure confidentiality and appropriate handling of patient financial information.