Billing Head

Job Title: Billing Head
Department: Billing & Revenue Cycle Management
Location: ITM Hospital and Research Centre, Gwalior
Job Type: Full-time
Salary Range: ₹30,000 – ₹60,000 per month (based on experience and qualifications)
Work Mode: In-person
Schedule: Day shift

Job Summary

The Billing Head will be responsible for overseeing the entire hospital billing operations, ensuring accuracy, compliance, and timely processing of inpatient, outpatient, TPA, and cashless claims. The role includes supervision of billing staff, ensuring smooth coordination with clinical departments, revenue assurance, and guiding the team on standard billing protocols.

Key Responsibilities

• Department Supervision: Lead and manage the billing department team including OPD/IPD/TPA/Ayushman billing counters and cash collection.
• Revenue Assurance: Monitor and ensure accurate capture of all billable services to prevent revenue leakage.
• Billing Accuracy: Ensure timely and error-free billing and invoicing for all departments. Validate and authorize high-value bills.
• Coordination: Liaise with medical, nursing, diagnostics, and other departments for service verification and billing inputs.
• TPA & Insurance Claims: Oversee cashless billing processes, pre-authorization, final billing, and documentation for insurance/TPA and government schemes.
• Audit & Compliance: Ensure compliance with hospital policies, financial guidelines, and NABH standards. Facilitate internal and external audits.
• MIS Reporting: Prepare and submit daily, weekly, and monthly billing and collection reports to senior management.
• Software Management: Supervise billing system/software (e.g., HIS) and ensure staff is trained and errors are minimized.
• Training & SOPs: Develop and enforce standard operating procedures (SOPs) for billing processes. Conduct staff training as needed.
• Grievance Handling: Resolve billing-related queries or complaints from patients or families with professionalism and empathy.
• Cash & Receipts: Ensure proper handling of cash, card, UPI payments, and daily reconciliation with finance/accounts.

Qualifications & Skills

• Education: Graduate/Postgraduate in Commerce, Finance, or Hospital Administration.
• Experience: Minimum 5–8 years of experience in hospital billing with at least 2–3 years in a leadership/supervisory role.
• Technical Skills: Proficient in hospital billing software (HIS), MS Excel, and TPA/insurance documentation.
• Leadership: Strong managerial skills to lead teams and streamline workflow.
• Attention to Detail: High degree of accuracy and problem-solving ability.
• Communication: Excellent communication and interpersonal skills to deal with patients, staff, and external agencies.
• Compliance Knowledge: Understanding of healthcare billing norms, NABH standards, and statutory guidelines.

Job Type: Full-time

Pay: ₹25,000.00 - ₹60,000.00 per month

Schedule:

• Day shift

Work Location: In person