Senior Manager Accounts

Role Overview

The Senior Manager - Accounts will be responsible for ensuring accurate financial accounting, timely reporting, statutory compliance, budgeting, cash-flow management, internal controls, audit coordination, and effective financial monitoring of hospital operations. The role requires strong knowledge of accounting principles and financial controls, along with a sound understanding of hospital revenue cycles, insurance/TPA billing, patient collections, pharmacy, diagnostics, procurement, and other healthcare financial processes. The position will also play a key role in ensuring financial accuracy, effective monitoring, regulatory compliance, and timely financial insights to support informed business decisions.

Key Responsibilities

1. 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 strengt