Senior Manager - Billing (Healthcare)

Were seeking an experienced, results-oriented Senior Manager - Billing to oversee end-to-end hospital billing operations, ensure revenue integrity, and maintain compliance with established policies and healthcare financial standards. The role requires a sharp understanding of patient billing workflows, coordination across clinical and non-clinical departments, and a strong focus on accuracy, timeliness, and customer satisfaction. The incumbent will be responsible for supervising billing executives, managing the departments daily operations, driving process efficiency, and supporting digital transformation initiatives to improve transparency and control.

Key Responsibilities

1. Billing operations

• Supervise and monitor the day-to-day operations of the billing unit, including OPD, IPD, Emergency, Diagnostics, and Corporate billing.
• Ensure correctness of billing entries, charge capture, consultant fees, consumables, packages, discounts, and settlements.
• Review all patient discharge bills before final submission to ensure accuracy and completeness.
• Monitor TAT (Turnaround Time) for bill closure and address discrepancies proactively.

2. Revenue and audit compliance

• Conduct regular internal audits to ensure compliance with billing protocols, tariff structures, and hospital SOPs.
• Implement checks and balances to prevent errors, frauds, or malpractice in billing processes.

3. Coordination

• Lead and mentor billing executives and senior executives; allocate work, monitor performance, and ensure adherence to timelines.
  
• Generate collaboration between billing, admissions, discharge, and front office teams to maintain seamless coordination.
• Conduct periodic training sessions on billing software, hospital tariffs, insurance protocols, and patient communication.

4. Stakeholder communication

• Act as a bridge between clinical, nursing, and administrative teams to address billing concerns and ensure smooth patient discharge.
• Handle patient grievances related to billing tactfully and ensure prompt resolution with a patient-centric approach.

5. Process improvement initiatives

• Support implementation and continuous improvement of the hospitals billing and ERP systems (e.g., HIS).
• Identify gaps in billing workflows and suggest automation or process redesign for greater efficiency.
• Track KPIs such as billing accuracy rate, average bill closure time, and collection turnaround.

6. Reporting & MIS

• Prepare and share daily, weekly, and monthly MIS on revenue, pending bills, discounts, and cash/credit collections.
• Provide analytical insights to management on billing trends, utilization, and departmental performance.

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Desired qualifications and experience:

• Graduate in Commerce/ Business Administration; MBA in Finance, Healthcare, or Hospital Management preferred
• Minimum 10 years of experience in hospital billing in a managerial/ supervisory capacity
• Proven experience in multi-specialty hospital billing operations
• Strong command over billing software (HIS/ERP), MS Excel, and report generation
• Sound understanding of healthcare tariffs, insurance claim cycles, ECHS, CGHS, Ayushmaan and revenue audit protocols

Key competencies:

• Ability to manage complex billing workflows with precision and accountability
• Capability to lead, motivate, and develop junior team members
• Skilled in identifying revenue trends and implementing corrective measures
• Clear, assertive, and patient-centric in handling sensitive billing situations
• Strong adherence to ethical standards and organizational values