Corporate / Panel Billing Officer

Awadh General Hospital, situated in Landhi, Karachi, is looking for a qualified and detail-oriented Corporate / Panel Billing Officer to join its team. The successful candidate will be responsible for managing corporate patient billing, insurance claims, panel coordination, and payment recovery. This role demands strong communication and organizational skills, a solid understanding of hospital billing systems, and the ability to maintain accurate financial records while ensuring timely processing and follow-up.

Key Responsibilities

Corporate & Panel Management: Oversee billing processes related to corporate clients, insurance companies, and hospital panels. Verify patient eligibility, panel coverage, and obtain necessary authorizations prior to service delivery. Review approval letters, insurance cards, referral letters, and other supporting documents. Maintain updated records of corporate clients, insurance companies, and panel agreements. Coordinate with corporate representatives regarding patient approvals and billing matters.

Billing & Invoicing: Prepare accurate bills for outpatient (OPD), inpatient (IPD), emergency, pharmacy, laboratory, and other hospital services. Apply approved corporate and panel rates, discounts, and contractual terms. Verify patient charges, deductions, co-payments, and applicable discounts. Generate invoices and supporting documentation for corporate clients, ensuring billing accuracy and preventing duplicate or incorrect billing.

Claims Processing & Submission: Prepare and submit insurance and corporate claims within prescribed deadlines, attaching all required documentation. Maintain records of submitted invoices, claims, and acknowledgment receipts. Follow up on rejected, disputed, or pending claims and coordinate with relevant departments to resolve documentation discrepancies.

Payment Follow-Up & Recovery: Maintain panel-wise records of outstanding receivables. Follow up with corporate clients and insurance companies regarding pending payments. Prepare statements of outstanding payments and overdue reports. Monitor claim settlements, deductions, and payment discrepancies. Coordinate with the Accounts department for payment verification and reconciliation. Escalate delayed payments and unresolved disputes to management when necessary.

Coordination & Reporting: Collaborate with departments including Reception, OPD, Emergency Room, IPD, Pharmacy, Laboratory, Medical Records, and Accounts. Work closely with the Admin Manager on corporate patient matters, panel agreements, and insurance-related issues. Prepare daily, weekly, and monthly corporate billing reports. Ensure confidentiality of patient and financial information at all times.

Required Qualifications

- Bachelor’s degree in Commerce, Accounting, Business Administration, or a related field.
- Minimum 1 to 2 years of relevant experience in hospital billing, corporate billing, or insurance claims.
- Knowledge of corporate panels, insurance procedures, and hospital billing systems.
- Proficiency in MS Excel, MS Word, and hospital management software.
- Strong communication, coordination, and follow-up skills.
- Good understanding of financial documentation and billing procedures.
- Ability to maintain accurate records and meet deadlines.

Preferred Qualifications and Benefits

Experience in a hospital or healthcare environment is highly desirable. The candidate should be able to work effectively with multiple departments and external stakeholders. This is a full-time position based at Awadh General Hospital, Landhi, Karachi. The hospital offers a competitive salary package, negotiable based on qualifications and experience. This role provides an excellent opportunity to contribute to a reputable healthcare institution known for compassionate patient care.

Candidates who meet the above criteria are encouraged to apply by submitting an updated CV along with relevant qualifications and experience details. This position offers the chance to join a dynamic team dedicated to delivering quality healthcare services.