Billing Executive

Role & responsibilities

Cash billing

• • Prepare OP, IP, and emergency bills for self-paying patients
• • Collect payments (cash, card, UPI) and issue receipts
• • Handle deposits, advances, refunds, and day-end cash reconciliation

Corporate and PSU billing

• • Bill patients under empanelled corporates and PSUs (e.g., CGHS, ECHS, and other government or PSU panels) at the correct tariff or package rates
• • Verify referral letters, authorisation or approval letters, and employee or beneficiary ID before admission and procedures
• • Apply correct package rates, exclusions, and sub-limits per the tie-up agreement
• • Prepare, compile, and submit monthly credit bills with all supporting documents
• • Follow up on outstanding corporate and PSU payments and resolve deductions

Insurance/TPA billing

• • Initiate pre-authorisations and enhancements, and coordinate with TPA and insurer desks
• • Prepare final bills and discharge documents, and submit claims within the TAT
• • Handle co-pay, non-payable items, and patient-payable splits
• • Resolve claim queries, rejections, and short payments

Compliance and coordination

• • Ensure all charges are captured accurately (consumables, procedures, consultations) by coordinating with wards, OT, pharmacy, and lab
• • Keep records audit-ready and follow hospital billing SOPs
• • Escalate disputes, tariff mismatches, and delayed approvals promptly