
Ipd Billing Executive
1 day ago
Role & responsibilities
- Manage end-to-end inpatient billing: capture charges for diagnostics, treatments, surgeries, medications, room stays, consumables.
- Verify and process patient insurance details, pre-authorizations, claims, and reimbursements.
- Create accurate interim and final bills, reconcile discrepancies, and follow up on outstanding payments.
- Provide cost estimates and explain billing to patients/attendants in clear, helpful terms.
- Coordinate across multiple departmentsnursing, pharmacy, diagnostics, financefor comprehensive billing capture.
- Maintain compliance with hospital SOPs, billing guidelines, regulatory standards (NABH/JCI, IRDA, CGHS/ECHS).
- Maintain and audit billing documentation, support internal/external audits.
- Generate and analyze billing KPIs: pending claims, denial rates, revenue leakage, aging, turnaround time.
- Collaborate with HIS/IT or process improvement teams to optimize billing workflows.
Preferred candidate profile
- Graduate degree (Commerce, Hospital Administration, or relevant field); MBA or healthcare management a plus.
- 26 years of experience in hospital IPD billing (depending on role seniority).
- Familiar with hospital billing systems (HIS), TPA processes, corporate/PSU billing, GST/IPT rules, health insurance policies.
- Strong communication, attention to detail, problem-solving, and data entry skills.
- Familiarity with healthcare accreditation (NABH/JCI) and legal/regulatory compliance.
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