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AGM -IP Billing (Hospital) Credit / Cash / Insurance

AGM -IP Billing (Hospital) Credit / Cash / Insurance

Continental HospitalsIndia
5 days 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

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