IP Billing Executive

Overview

The IP Billing Executive at Maiya Multispeciality Hospital LLP in Bengaluru plays a crucial role in efficiently managing inpatient billing from admission until discharge. The position requires close collaboration with multiple hospital departments to ensure prompt and precise billing procedures.

Primary Responsibilities

• Manage the complete inpatient admission, billing, and discharge workflows.
• Generate and maintain interim and final inpatient bills accurately.
• Record charges related to room rent, nursing, consultations, procedures, OT, ICU, laboratory, radiology, pharmacy, and consumables.
• Verify billing information thoroughly to catch any missed or erroneous entries.
• Liaise with nursing, pharmacy, lab, radiology, and other teams to resolve outstanding charges.
• Handle payment collection via cash, card, UPI, and issue receipts accordingly.
• Maintain patient advances and correctly reconcile them against the final bills.
• Coordinate with Insurance and TPA departments for pre-authorizations, approvals, and settlements.
• Validate insurance deductions, non-payable items, and patient responsibilities.
• Facilitate discharge clearances by ensuring all billing formalities are fulfilled.
• Process refunds and billing adjustments in line with hospital policies and authorized procedures.
• Prepare daily reports on billing, collections, outstanding balances, and discharges.
• Perform daily cash and billing reconciliations.
• Maintain accurate billing records and patient documentation.
• Address patient and attendant billing inquiries professionally and courteously.
• Protect confidentiality of sensitive patient and financial data.
• Adhere to hospital billing policies, SOPs, and statutory regulations.
• Undertake any other billing-related tasks assigned by management.

Qualifications and Experience

• Minimum education: PUC / 12th Pass; preference for B.Com, BBA, Hospital Administration, or related disciplines.
• Certification in hospital billing or insurance is advantageous.
• 1 to 3 years experience in inpatient hospital billing, especially in multispeciality hospitals handling Insurance/TPA patients.
• Fresh candidates with relevant billing knowledge may also be considered.

Required Skills

• Strong understanding of inpatient hospital billing and insurance/TPA billing procedures.
• Familiarity with medical terminology and hospital processes.
• Proficiency in hospital information systems (HIS/HMS) for billing management.
• Good knowledge of MS Excel and numerical accounting skills.
• Strong attention to detail and accuracy in work.
• Effective communication and coordination capabilities.
• Ability to function under pressure and meet discharge timelines.
• Willingness to work shifts including weekends and holidays.

Performance Metrics

• Accuracy of billing details.
• Timely issuance of discharge bills.
• Minimization of missed charges.
• Correctness in Insurance/TPA documentation.
• Accurate daily cash reconciliations.
• Reduction in billing complaints.
• Prompt collection of outstanding payments.
• Well-maintained billing records.

Personal Qualities

The role demands honesty, responsibility, accuracy, patient-friendliness, good communication, teamwork, time management, and a detail-focused mindset.