Job Responsibilities:

Accounts Management:

• Prepare and periodic updating of the Hospital Schedule of Charges in coordination with relevant departments.
• Formulate policy and procedures for billing department and ensure implementation for the same.
• Manage accounts receivables, monitor and managing outstanding patient balances , ensure follow up for collection with patients, corporates, and TPAs.
• Preparing and analysing financial reports related to billing and collections , trend analysis and recommend for any process improvements
• Contract negotiation with insurance companies and analysing the financial impact of the terms
• Ensure timely closure of books of accounts related to revenue and billing as per the accounting norms applicable for the hospital.
• Financial planning and budgeting related to revenue , billing and other related activities

Billing & Revenue Cycle Management:

• Manage billing function and ensure accurate patient billing, insurance claims processing, and TPA coordination.
• Ensuring that all billing codes , claims and procedures are accurate , compliant with various regulations and adhere to establish protocols
• Implement controls to minimize revenue leakages and billing errors.
• Working with other departments to streamline the revenue cycle and optimise financial performance
• Ensure & check final bills in line with service entries
• Manage the team of billing specialists and provide support as needed
• Addressing patient  billing inquiries , resolving billing discrepancies

 Compliance & Audit:

• Ensure compliance with applicable accounting standards, GST, TDS, Income Tax, and other statutory requirements.
• Provide support for internal and external audits and assessments.
• Maintain proper documentation and record-keeping for audit and regulatory purposes.

System & Process Improvement:

• Implement ERP/HMIS systems for billing and accounting processes.
• Identify process improvement areas for better efficiency and patient experience.

Desired Profile:

Qualifications:

• MBA (Finance) / M.Com or equivalent.

Experience:

• More than 8 years of experience in hospital accounts and billing functions.
• Strong knowledge of accounting , healthcare billing, revenue cycle management, TPA processes, and statutory compliance.

Skills:

• Analytical and problem-solving abilities.
• Proficiency in accounting software, ERP/HMIS platforms.
• Strong leadership, communication, and team management skills.