Senior Accounts Manager

Role & responsibilities

. Financial Accounting & Reporting

• Supervise and oversee day-to-day accounting operations, including OPD and IPD Billing, Accounts Payable, Accounts Receivable, General Ledger, bank reconciliations, journal entries and provisions.
• Ensure accurate and timely monthly, quarterly and annual financial closing in accordance with applicable accounting standards and organizational policies.
• Review Trial Balance, Profit & Loss Account, Balance Sheet, Cash Flow Statements and other financial reports.
• Ensure proper accounting and reconciliation of hospital revenue, expenses, assets, liabilities and provisions.
• Prepare and review monthly MIS, management reports, profitability analysis and financial dashboards.
• Monitor outstanding receivables and payables and ensure timely reconciliation and follow-up.
• Identify accounting discrepancies and ensure timely resolution.

2. Hospital Revenue Cycle & Collection Management

• Monitor and review revenue generated from IPD, OPD, diagnostics, pharmacy, OT, ICU and other hospital services.
• Ensure reconciliation between hospital billing systems, operational records and accounting books.
• Monitor patient collections through cash, card, UPI, online and other payment modes.
• Review insurance and TPA receivables and coordinate with the relevant teams to ensure timely claim submission, follow-up and settlement.
• Monitor credit billing, discounts, refunds, cancellations, write-offs and other revenue adjustments.
• Analyse revenue trends and identify revenue leakages, billing gaps and process inefficiencies.
• Strengthen controls across the hospital revenue cycle to improve billing accuracy, collections and overall revenue realisation.
• Monitor ageing of patient, corporate, insurance and TPA receivables and drive timely collection.

3. Budgeting, Planning & Financial Analysis

• Assist management in the preparation of annual budgets, operating plans and financial projections.
• Prepare and monitor departmental budgets and analyse actual performance against approved budgets.
• Conduct variance analysis and provide insights and corrective-action recommendations to management.
• Support financial forecasting and cash-flow planning.
• Identify opportunities for cost optimisation and improvement in operational profitability.
• Provide financial inputs for pricing, service-line profitability and other business decisions.

4. Statutory Compliance

• Ensure timely compliance with applicable GST, TDS, Income Tax, PF, ESIC and other statutory requirements.
• Ensure timely preparation, review and filing of statutory returns and related documentation.
• Coordinate with tax consultants, auditors and external professionals as required.
• Maintain accurate records and documentation to support statutory compliance.
• Monitor changes in applicable statutory and regulatory requirements and ensure necessary implementation.

5. Audit & Internal Controls

• Coordinate internal, statutory and tax audits and ensure timely closure of audit requirements.
• Prepare audit schedules, supporting documents and responses to audit observations.
• Strengthen internal financial controls and ensure adherence to approved policies, SOPs and processes.
• Conduct periodic internal reviews of financial and operational processes to identify control gaps, errors, process deviations and potential revenue leakages.
• Ensure appropriate authorisation, supporting documentation and segregation of duties for financial transactions.
• Conduct periodic financial and process audits of key hospital departments, including Pharmacy, Stores, Billing and other revenue-generating or expenditure-related functions.
• Track audit observations and ensure timely implementation of corrective and preventive actions.

6. Cash Flow & Treasury Management

• Monitor daily cash and bank positions and assess working-capital requirements.
• Prepare and monitor short-term and periodic cash-flow forecasts.
• Ensure adequate availability of funds for day-to-day hospital operations.
• Monitor bank accounts and ensure timely bank reconciliations.
• Review cash collections and deposits and ensure appropriate controls over cash handling.
• Coordinate with banks and financial institutions as required.

7. Vendor, Payable & Procurement Accounting

• Review vendor invoices, purchase-related accounting and payment processes.
• Ensure timely reconciliation of vendor accounts and resolution of discrepancies.
• Monitor outstanding vendor balances and payment schedules.
• Work closely with Purchase, Stores and Administration teams to strengthen procurement and financial controls.
• Review purchase orders, invoices, supporting documents and payment approvals as per established processes.
• Monitor and review doctor payments, professional fees and related accounting and documentation.
• Ensure appropriate withholding tax and statutory treatment for vendor and professional payments.

8. Team Management & Development

• Lead, guide and supervise the Accounts & Finance and Billing teams.
• Allocate responsibilities, establish priorities and monitor team performance.
• Ensure adequate coordination between Accounts, Billing and other hospital departments.
• Develop team capabilities through coaching, training and process improvement initiatives.
• Establish accountability and ensure adherence to accounting policies, SOPs and internal controls.
• Drive process discipline, accuracy and timely completion of finance-related activities.

9. Management Reporting & Business Support

• Provide financial analysis, insights and recommendations to the CEO, Finance Head and hospital management.
• Prepare periodic financial and operational reports for management review.
• Support management decision-making on costs, investments, pricing, profitability, working capital and operational efficiency.
• Highlight key financial risks, trends, variances and areas requiring management attention.
• Participate in process-improvement, automation, cost-control and efficiency-enhancement initiatives.
• Work closely with Hospital Operations, Billing, Pharmacy, Diagnostics, Purchase, Stores, Administration and other departments to strengthen financial governance and operational effectiveness.
• Regular follow up and personal visits to strengthen relationship with all govt departments/ agencies for timely payments and other support critical for hospital operations.

Preferred candidate profile

Qualifications & Experience

• M.Com / CA Inter with relevant experience. 
• 1215 years of experience in Accounts, preferably with substantial experience in hospital/healthcare operations. 
• Strong experience in hospital accounting, revenue cycle management, billing, insurance/TPA receivables, MIS, budgeting, cash flow and financial reporting. 
• Hands-on experience in statutory compliance, audits, internal controls and team management, with strong proficiency in ERP/accounting systems and MS Excel.

Key Skills & Competencies

• Financial accounting, reporting, budgeting, MIS and financial analysis. 
• Hospital revenue cycle, IPD/OPD billing, TPA/insurance receivables and collections. 
• Statutory compliance, audits, internal controls and risk management. 
• Cash-flow management, working capital, cost optimisation and revenue realisation. 
• Team management, stakeholder coordination and process improvement. 
• Attention to detail, integrity, ownership, accountability and problem-solving.

Preferred Industry Exposure

• Manufacturing, mining, infrastructure, logistics, or capital-intensive industries.
• Exposure to high-volume banking transactions and treasury operations.
• Experience in multi-entity environments preferred.