Hospital Billing Executive Jobs Opening in KFRC-TMF SMART at Visakhapatnam-Others, Visakhapatanam
Hospital Billing Executive
Job Description
Job Summary:
A Hospital Billing Executive is responsible for managing and processing billing and payment activities for patients in a healthcare setting. This includes generating accurate bills, coordinating with insurance companies and TPAs (Third Party Administrators), handling cash and card payments, updating patient records, and ensuring compliance with the hospital’s billing policies.
The role requires attention to detail, excellent communication skills, and a thorough understanding of hospital billing systems, medical terminologies, and insurance claim procedures. A Billing Executive plays a crucial role in the hospital’s revenue cycle and overall patient experience.
Key Responsibilities:
1. Patient Billing and Invoicing
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Generate itemized patient bills based on services rendered, procedures conducted, investigations, and medication.
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Ensure accurate entry of charges from the IPD (In-Patient Department), OPD (Out-Patient Department), diagnostic lab, radiology, pharmacy, and other units.
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Verify patient details, treatment history, and payment eligibility before finalizing the bill.
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Monitor billing schedules for emergency, elective, and surgical cases.
2. Insurance & TPA Coordination
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Verify insurance coverage and documentation for patients opting for cashless treatment.
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Coordinate with TPAs and insurance companies to get pre-authorizations, approvals, and extensions.
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Submit accurate claim forms, supporting documents, and bills for processing.
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Track the status of claims and follow up for pending payments or rejections.
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Assist patients in understanding their coverage and billing-related queries.
3. Payment Collection & Reconciliation
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Collect payments via cash, card, UPI, cheque, or bank transfers.
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Issue receipts and maintain accurate records of all financial transactions.
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Reconcile daily collections and submit reports to the accounts team.
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Handle refunds and adjustments for excess payments, cancellations, or disputes as per policy.
4. Discharge Billing
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Prepare final settlement bills for patients at the time of discharge.
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Cross-check all charges including doctor visits, investigations, stay charges, and consumables.
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Ensure clearance of dues from departments like pharmacy, nursing, or diagnostics before discharge.
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Explain the final bill to the patient or relative and clarify doubts if any.
5. System and Documentation Management
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Use hospital information systems (HIS), ERP, or billing software to update and process data.
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Maintain digital and physical records of all bills, payments, approvals, and claim forms.
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Ensure secure handling of sensitive patient data as per hospital confidentiality protocols.
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Submit daily, weekly, and monthly reports to management.
6. Compliance and Policy Adherence
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Follow all hospital billing SOPs, pricing policies, and discounts based on approval hierarchy.
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Stay updated with medical codes (ICD, CPT), GST rules, and insurance company guidelines.
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Assist in internal and external audits by providing accurate documentation.
7. Patient Interaction & Support
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Provide courteous, accurate, and prompt assistance to patients and families regarding billing.
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Resolve complaints related to billing, overcharging, or delays professionally.
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Maintain a service-oriented attitude and uphold the hospital’s reputation for transparency and care.
8. Coordination with Other Departments
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Liaise with the nursing station, pharmacy, diagnostics, doctors, and administration to collect data related to services and billing.
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Ensure that all departments input data accurately and on time for seamless billing.
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Coordinate with medical records for discharge summaries and insurance papers.
More information about this Hospital Billing Executive Job
Please go through the below FAQs to get all answers related to the given Hospital Billing Executive job
- What are the job requirements to apply for this Hospital Billing Executive job position?
- Ans: A candidate must have a minimum of fresher as an Hospital Billing Executive
- What is the qualification for this job?
- Ans: The candidate can be a Graduate from any of the following: B.Com, BA, BBA/BBM, BSc
- What is the hiring Process of this job?
- Ans: The hiring process all depends on the company. Normally for an entry level, hiring the candidate has to go for Aptitude, GD (If they look for communication),Technical test and face to face interviews.
- This Hospital Billing Executive is a work from home job?
- Ans: No ,its not a Work from Home Job.
- How many job vacancies are opening for the Hospital Billing Executive position?
- Ans: There are immediate 1 job openings for Hospital Billing Executive in our Organisation.
Job Particulars
About Company
Visakhapatanam 
Freshers 
Salary not disclosed 
B.Com, M.Com 
