Accounts Counter Billing Executive

JOB SUMMARY

We are looking for a Billing Executive who has good knowledge of hospital billing processes and government health schemes/panels. The candidate will be responsible for patient billing, preparation and submission of claims, verification of documents, coordination with government panel authorities, and ensuring timely settlement of hospital claims.

Key Responsibilities:

· Prepare and manage IPD/OPD patient bills accurately.

· Handle billing under various Government Health Schemes and Panels.

· Verify patient eligibility, approvals and required documents.

· Prepare and submit pre-authorizations, claims and reimbursement documents.

· Maintain complete records of panel patients and billing documents.

· Coordinate with TPA/Government panel representatives for approvals and claim status.

· Follow up on pending approvals, rejected claims, deductions and payments.

· Coordinate with doctors, nursing, medical records, pharmacy and accounts departments.

· Verify package rates, procedures, medicines and investigations as per panel guidelines.

· Maintain billing reports and assist in reconciliation of panel claims.

· Handle patient billing queries and maintain confidentiality.

· Ensure compliance with hospital policies and government-panel guidelines.

Preferred Knowledge:

· Billing

· Government Health Schemes / Government Panels

· Cashless & Panel Billing

· Pre-Authorization Process

· Claim Submission & Settlement

· TPA Coordination

· Medical Documentation

· Patient Registration & Billing

· Reconciliation and Outstanding Claims

· MS Excel and basic computer applications

Required Skills:

· Good knowledge of billing software

· Good command of “MS Excel”

· Strong documentation and record-keeping skills

· Good communication and coordination skills

· Ability to coordinate with multiple departments and external agencies

Educational Qualification:

· Graduate in any discipline, preferably B.Com, BBA, or a related field.

Experience:

· Preferred: 1–3 years of experience in billing, TPA desk, government-panel billing, insurance claims or hospital accounts.

· Freshers with strong knowledge of billing and government-panel procedures may also be considered.

• It is a Full Time Accountant job for candidates with 1 - 3 years of experience.