A deputy manager billing will be an integral member in the Finance department. He / She will ensure accurate billing, resolve complaints, and ensure timely billing and discharge across Cash, Credit, TPA, Corporate, PSU, CGHS & ECHS, OPD Billing – Consultation, Procedure & Investigation, IPD Billing & Credit Billing Governance, TPA / Corporate / PSU Authorization Management, Admission Control, Implant Ceiling & High-Value Item Control, Co-Payment & Patient Liability Management. He/she will also be responsible for smooth Discharge Process & Billing Accuracy, Agreement & Guideline Strict adherence to Compliance & timelines, Team Management & Training

Job Description & KPI’s

• Cash Billing Accuracy (bill vs Estimate)
• Credit billing accuracy %
• Authorization vs final bill variance
• Implant ceiling compliance (100%)
• Co-payment recovery %
• Discharge TAT (Cash & Credit)
• Billing error & denial rate
• Audit observations count

Requisite skills & knowledge

• Strong knowledge of Hospital Revenue Cycle Management
• In-depth understanding of:
• Cash Billing
• TPA workflows
• Corporate & PSU billing
• CGHS & ECHS and other statutory guidelines related to billing
• Hands-on HIS experience
• Strong analytical & negotiation skills
• Excellent communication & escalation handling

Job Specifications:

Qualification: B.Com / M.Com / MBA Finance

Industry Type: Healthcare preferably Hospital Industry.

Experience: 7–12 years