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AGM -IP Billing (Hospital) Credit / Cash / Insurance [15h Left]

Continental HospitalsIndia

14 hours ago

Job description

Continental Hospital is a JCI and NABH accredited facility offering multi-specialty, tertiary, and quaternary care services. With 585 beds and more than 50 specialties, the healthcare institution is spread across 18 floors (1.4 million sq. ft), with 600 capacity car parking, 36 customized elevators, 2 escalators, located in the IT and Financial District of Hyderabad, Gachibowli.

Continental Hospitals, India’s first LEED qualified super specialty hospital is built on international standards and is designed to enhance the healing spaces with natural ventilation, safety, and privacy. The hospital has incorporated the safest standards in the world including fire, water resources, sanitation, and internal transportation systems. Continental Hospitals was founded by Dr Guru N Reddy in April 2013 to redefine healthcare in India by providing quality patient care with integrity, transparency, a collaborative approach, and evidence-based medicine.

Roles & Responsibilities – Sr Manager Billing (Multispecialty Hospitals)

Min Exp- 15+ Years

Must have headed Billing for Multispecialty Hospitals(min 300+ Bedded)

1. IP Billing Operations Management

Oversee end-to-end billing process
Ensure accurate and timely generation of bills for patients, insurance, CGHS, Arogyasree
Supervise discharge billing, interim billing, and final settlements with zero discrepancies.

2. Revenue Cycle & Reconciliation

Monitor the Revenue Cycle Management (RCM) to ensure all services are captured and billed.

Verify charge entries, discounts, refunds, and adjustments as per hospital policy.

Conduct daily reconciliation of cash, card, and online transactions with Finance.

3. Insurance Coordination

Oversee cashless and credit billing processes.

Ensure timely pre-authorization, enhancement, and final bill submission to TPAs and corporates.

Follow up on pending claims and coordinate with TPA desk for settlements.

4. Audit & Compliance

Maintain NABH and statutory compliance in billing documentation and processes.

Conduct internal audits to identify revenue leakages and initiate corrective actions.

Ensure adherence to hospital pricing policies and approval hierarchies.

5. Reporting & Analysis

Generate and review daily / weekly / monthly billing MIS and revenue reports.

Track collection efficiency, outstanding dues, and revenue trends.

Present analytical reports to Management for financial planning and forecasting.

6. Team Leadership & Training

Supervise Finance Counsellor

Conduct training sessions on billing software, TPA protocols, and patient communication.

Motivate and guide the team to achieve accuracy and service excellence.

7. Coordination & Communication

Liaise with Medical, Nursing, Front Office, and Finance teams for smooth discharge and billing operations.

Address patient queries and grievances related to billing promptly and professionally.

Act as the key point of contact between management and operational billing teams.

Technical Proficiency :

Proficient in MS Excel, Word, PowerPoint

Working knowledge of hospital ERP / HIS systems

Familiar with Tally / basic accounting software

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Billing • India