INSURANCE BILLING HEAD

Job Title: Insurance Billing Head

Job Summary:

The Insurance Billing Head is responsible for overseeing and managing the end-to-end insurance billing process, including claims processing, reimbursement tracking, denial management, and compliance with regulatory standards. The role requires strong leadership, deep knowledge of medical billing practices, and a proactive approach to improving collection efficiency and accuracy.

Key Responsibilities:

• Lead and manage the insurance billing team to ensure timely and accurate submission of claims.
• Monitor the entire claims lifecycle — from pre-authorization to payment posting and denial management.
• Coordinate with insurance companies, TPAs, and internal stakeholders to resolve billing issues and disputes.
• Ensure compliance with relevant medical coding standards (ICD, CPT, HCPCS), payer requirements, and hospital policies.
• Identify and implement process improvements to reduce denials and improve reimbursement rates.
• Generate periodic reports on claim status, revenue realization, outstanding payments, and TAT.
• Train and mentor billing staff to maintain high performance and updated knowledge.
• Collaborate with the finance team for audits, reconciliations, and revenue forecasting.
• Keep abreast of changes in insurance regulations and policies, and ensure implementation.

Qualifications:

• Bachelor’s degree in Commerce, Finance, Healthcare Administration, or related field. Master’s degree preferred.
• Minimum 7–10 years of experience in medical insurance billing, with at least 3 years in a leadership role.
• In-depth knowledge of healthcare revenue cycle, insurance billing procedures, and coding practices.
• Proficient in hospital billing software and MS Office tools.
• Excellent communication, negotiation, and problem-solving skills.
• Strong leadership and team management abilities.

Job Type: Full-time

Pay: ₹45,000.00 - ₹60,000.00 per month

Benefits:

• Provident Fund

Schedule:

• Rotational shift

Work Location: In person