•Revenue Operations & Revenue Cycle Management
•Own and monitor the hospital's end-to-end revenue cycle from patient registration and billing through collections and closure.
•Monitor daily, weekly, and monthly revenue performance against targets.
•Identify revenue leakage, billing gaps, missed charges, discounts, write-offs, and collection delays.
•Ensure accurate and timely billing across OPD, IPD, surgeries, diagnostics, pharmacy, procedures, and other hospital services.
•Monitor AR, outstanding payments, collections, credit billing, insurance/TPA receivables, and patient dues .
•Coordinate with Finance, Billing, Front Office, Insurance/TPA, Clinical and Operations teams to resolve revenue-related issues.
•Track insurance/TPA claims, approvals, deductions, denials, and settlement timelines.
•Analyse revenue trends and prepare MIS, dashboards, and management reports .
•Identify opportunities to improve revenue realization, patient conversion, average billing value, and operational efficiency.
•Establish and monitor revenue-related SOPs, controls, and processes.
•Ensure appropriate coordination between clinical services and billing teams so that all billable services are captured correctly.
•Monitor discounts, refunds, credit notes, and exceptional approvals in line with hospital policies.
•Work with leadership to develop and implement revenue improvement initiatives .
•Hospital Administration & Operations
•Manage day-to-day hospital administrative operations and ensure smooth functioning of non-clinical activities.
•Coordinate with departments including Front Office, Facility, Housekeeping, Security, Maintenance, Biomedical, IT, Procurement, and other support functions.
•Ensure adequate availability and functioning of essential hospital facilities, equipment, utilities, and support services.
•Manage and coordinate with external vendors, service providers, and contractors.
•Monitor vendor performance, service quality, contracts, and operational issues.
•Ensure administrative processes are aligned with hospital policies, statutory requirements, and applicable quality/accreditation standards.
•Support hospital leadership in implementing operational policies, SOPs, and process improvements.
•Handle escalations related to patients, attendants, vendors, and internal stakeholders from an administrative perspective.
•Monitor facility-related issues and ensure timely closure through respective teams.
•Support audits, inspections, compliance requirements, and documentation related to hospital operations.
•Cross-Functional Leadership
•Act as a key coordination point between Revenue, Finance, Clinical, Nursing, Front Office, Insurance/TPA, HR, and Administration .
•Work closely with doctors and clinical leadership to improve operational and revenue processes without compromising patient experience.
•Lead regular review meetings and track action items to closure.
•Develop strong relationships with internal and external stakeholders.
•Drive accountability and ensure timely resolution of operational and revenue-related issues.
•MIS, Analytics & Process Improvement
•Develop and maintain dashboards covering:
•Daily/monthly revenue
•Collections
•AR/outstanding
•TPA/insurance receivables
•Department-wise revenue
•Patient volumes
•Billing and collection efficiency
•Revenue leakage
•Operational KPIs
•Analyse trends and provide actionable insights to hospital leadership.
•Identify bottlenecks and implement process improvements.
•Use data to support management decision-making and improve profitability and operational efficiency.
Key Performance Indicators (KPIs)
•Achievement of monthly/annual revenue targets
•Revenue growth and revenue realization
•Reduction in revenue leakage
•Improvement in collections and AR ageing
•TPA/insurance claim settlement turnaround time
•Billing accuracy and reduction in billing errors
•Department-wise revenue performance
•Timely closure of operational issues
•Vendor/service quality and cost optimization
•Patient experience and administrative service quality
•Compliance with hospital SOPs and applicable standards
Candidate Profile
Education:
•Bachelor's degree in Hospital Administration, Healthcare Management, Business Administration, Finance, or a related field.
•MBA/MHA/PG qualification preferred.
Experience:
•7–12 years of relevant experience in hospital revenue operations, revenue cycle management, hospital administration, or healthcare operations .
•Candidates with experience managing both revenue and administration will be strongly preferred.
•Experience in a hospital, oncology centre, multispecialty hospital, or healthcare organisation is preferred.
Required Skills
•Strong understanding of hospital revenue cycle management
•Hospital billing and collection processes
•Insurance/TPA processes and claim management
•Revenue MIS and analytics
•Hospital administration and facility coordination
•Vendor management
•Strong Excel/MIS skills
•Process improvement and SOP implementation
•Financial and commercial acumen
•Strong communication and stakeholder-management skills
•Problem-solving and decision-making ability
•Ability to manage multiple functions simultaneously
•Strong ownership and execution orientation
Ideal Candidate
The ideal candidate is someone who can independently own hospital revenue operations while simultaneously managing administration , rather than functioning only as a billing or administration specialist.
Someone with strong experience in either Revenue Operations or Hospital Administration , but with sufficient exposure and capability to take ownership of the second function, may also be considered.
