Executive - Billing

The Executive – Billing will be responsible for handling patient billing processes, insurance coordination, and payment collections while ensuring accuracy, transparency, and compliance with hospital policies. The involves close coordination with patients, insurance companies, and internal departments to ensure seamless billing operations and high levels of patient satisfaction.

Roles and Responsibilities:

• Generate accurate patient bills for OPD, IPD, diagnostics, and other hospital services.
• Verify patient details, treatment records, and service charges before final billing.
• Handle insurance billing processes including cashless claims, TPA coordination, and documentation.
• Ensure timely submission of insurance claims and follow up for approvals and reimbursements.
• Process advance payments, deposits, refunds, and final settlements for patients.
• Maintain billing records, invoices, receipts, and financial documentation accurately.
• Coordinate with clinical and administrative departments to resolve billing discrepancies.
• Ensure compliance with hospital billing policies, pricing structures, and statutory requirements.
• Provide clear billing explanations to patients and attend to their queries professionally.
• Monitor outstanding payments and follow up with patients or insurance providers for collections.
• Prepare daily billing reports, MIS, and reconciliation statements for management review.
• Ensure proper coding of procedures, services, and packages as per hospital guidelines.
• Handle discharge billing process efficiently to avoid delays in patient discharge.
• Maintain confidentiality of patient financial and medical information.
• Support audit processes by providing required billing data and documentation.
• Coordinate with finance teams for revenue tracking and account reconciliation.
• Manage cash, card, and digital payment transactions with accuracy and accountability.
• Ensure minimal billing errors and work towards continuous process improvement.
• Assist in implementing billing system upgrades and process automation initiatives.
• Maintain high standards of customer service and ensure a smooth billing experience for patients.