Billing Manager

Job Description

Job Summary: The Manager Billing will be responsible for overseeing all aspects of patient and third-party billing including ESIC, CGHS, TPA, and private billing. The role includes managing billing processes, compliance with statutory and institutional policies, coordinating with consultants and insurance providers, and leading a team to ensure accuracy, transparency, and timely revenue realization. Key Responsibilities: Supervise and manage end-to-end billing processes for ESIC, CGHS, TPA, and private patients (IPD & OPD). Ensure timely intimation, scrutiny, query handling, and payment follow-ups with third-party administrators and government bodies. Verify and finalize all insurance and institutional billing files and ensure submission in coordination with the accounts department. Lead coordination efforts between doctors, staff, and the billing team for smooth execution of processes. Maintain and update billing policies, package rates, and hospital tariff circulars in the billing software . Prepare and submit monthly consultant payment reports and billing MIS to accounts and management. Oversee billing estimations for Cath Lab, CTVS, and international patients, ensuring accuracy in private and insurance segments. Address and resolve discrepancies in TPA statements, including short payments and guideline communication with insurers. Ensure accurate VIP and private room allocations and related billing responsibilities. Drive continuous improvement in cashless billing, consultant payments, and billing policy compliance.