Medical Billing Executive

1 week ago

Nadiad, India Wardwizard Medicare Private Limited Full time

**1. Patient Billing & Invoicing**
- Prepare and generate accurate inpatient, outpatient, and emergency bills.
- Verify patient details, treatment procedures, and service charges before final billing.
- Ensure inclusion of all medical services, consumables, and doctor fees in the bill.
- Handle advance payments, refunds, and discharge clearances.

**2. Insurance & TPA Coordination**
- Verify patient insurance coverage and obtain pre-authorization approvals.
- Prepare and submit insurance claims to TPA/insurance companies.
- Follow up on pending or rejected claims and resolve discrepancies.
- Maintain communication with insurance representatives for claim status updates.

**3. Payment & Collection Management**
- Collect payments through cash,card, or online modes.
- Reconcile daily billing and collection reports with finance records.
- Maintain accurate payment receipts and deposit details.

**4. Documentation & Reporting**
- Maintain complete and organized billing records.
- Update patient billing data in the Hospital Information System (HIS).
- Generate daily, weekly, and monthly billing and revenue reports.

**5. Compliance & Audit**
- Ensure billing compliance with hospital policies and healthcare regulations.
- Support internal and external audits with required documentation.
- Maintain confidentiality of patient and financial information.

**Experience Required**:

- **Minimum 2-3 years of experience in hospital field billing**, including patient billing, insurance/TPA claim processing, and payment reconciliation.
- Experience in both **cash and credit billing** environments preferred.
- Hands-on experience with **Hospital Information Systems (HIS)** and accounting software.

**Qualifications**:

- Bachelor’s degree in Commerce, Accounting, Finance, or Hospital Administration.
- Strong understanding of healthcare billing systems and medical terminology.

**Benefits**:

- Provident Fund

Expected Start Date: 20/10/2025

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