Walk-in || Billing Executive

We are looking for a detail-oriented and customer-focused IP/OP Billing Executive to manage inpatient (IP) and outpatient (OP) billing operations. The candidate will be responsible for accurate bill preparation, payment collection, insurance and cashless billing coordination, discharge billing, and daily financial reconciliation while ensuring compliance with hospital policies and billing procedures.

Key Responsibilities

1. Inpatient (IP) Billing

• Prepare, verify, and finalize inpatient bills, including room rent, ICU charges, consultation fees, surgical and procedural charges, diagnostics, blood bank, and pharmacy expenses.
• Monitor daily patient charges and ensure all services are captured accurately in the billing system.
• Coordinate with nursing stations, doctors, pharmacy, diagnostics, and the Medical Records Department (MRD) to collect charge slips and required documents.
• Process final bills, deposits, adjustments, refunds, and discharge settlements as per hospital policy.
• Ensure timely discharge billing and minimize patient waiting time.
• Handle corporate, CGHS, ECHS, TPA, and other credit billing as applicable.
• Apply the correct tariffs, discounts, package rates, and approved concessions.

2. Outpatient (OP) Billing

• Register patients and generate OP registration and consultation bills.
• Prepare bills for laboratory investigations, radiology services, pharmacy items, and other outpatient procedures.
• Verify service codes, applicable tariffs, and billing details before generating invoices.
• Collect payments and issue official receipts.
• Coordinate with OPD, laboratory, radiology, and pharmacy departments to resolve billing discrepancies.

3. Insurance, TPA and Cashless Billing

• Verify insurance cards, policy details, eligibility, and pre-authorization approvals.
• Coordinate with the insurance desk, TPA representatives, and corporate clients for cashless and credit billing.
• Prepare and submit interim and final bills with supporting medical records.
• Follow up on pending approvals, claim queries, audit objections, deductions, short-payments, and claim rejections.
• Ensure compliance with approved insurance tariffs, package rates, and documentation requirements.

4. Payment Collection and Reconciliation

• Collect payments through cash, credit/debit cards, UPI, and bank transfers.
• Issue receipts for all transactions and maintain accurate payment records.
• Reconcile daily collections with the Hospital Information System (HIS), payment records, and accounts department.
• Maintain records of refunds, deposits, adjustments, outstanding balances, and credit bills.
• Report cash or billing discrepancies promptly to the reporting manager.

5. Patient Service and Coordination

• Explain bills, charges, deposits, and payment procedures clearly to patients and their families.
• Address billing-related queries and grievances professionally.
• Coordinate with clinical and non-clinical departments to resolve billing issues.
• Maintain patient confidentiality and ensure accurate handling of financial and medical information.

6. Documentation and Compliance

• Maintain accurate billing records, invoices, receipts, and supporting documents.
• Follow hospital billing policies, financial controls, and authorization procedures.
• Ensure proper documentation for insurance claims, corporate billing, and discharge settlements.
• Support internal audits, billing audits, and revenue reconciliation activities.

Educational Qualifications

• Bachelor's or Master's degree in B.Com, BBA, B.Sc., or a related discipline.
• Additional certification in hospital administration, medical billing, or medical coding is an advantage.

Experience

• Typically 1-5 years of experience in hospital billing, preferably in IP/OP billing operations.
• Experience in TPA, insurance, cashless, CGHS, ECHS, or corporate billing will be an added advantage.
• Freshers with relevant billing or medical coding certification may be considered for junior-level positions.

Required Skills

• Good knowledge of hospital IP/OP billing processes.
• Familiarity with Hospital Information Systems (HIS) and billing software.
• Knowledge of insurance, TPA, cashless, and corporate billing procedures.
• Strong numerical accuracy and attention to detail.
• Basic computer proficiency, including MS Excel and data entry.
• Good communication, coordination, and customer service skills.
• Ability to work under pressure and manage discharge billing within timelines.
• Integrity, accountability, and a high level of confidentiality.

Walk-in Details:

Time and Venue

26 October - 30 November , 9.30 AM - 4.00 PM

Malla Reddy Vishwavidyapeeth , Suraram

Contact - HR Rachana ( [phone removed] )

Email ID: [email removed]