Senior Manager - Accounts

Role Overview  

The Senior Manager - Accounts will be responsible for en suring accurate fi nancial ac counting , timely reporting, sta tutory compliance, budgeting, cash-flow management, internal controls, audit coordination, and effective financial monitoring of hospital operations. The role requires strong knowledge of accounting principles and financial controls, along with a sound understanding of hospital revenue cycles, insurance/TPA billing, patient collections, pharmacy, diagnostics, procurement, and other healthcare financial processes . The position will also play a key role in ensuring financial accuracy, effective monitoring, regulatory compliance, and timely financial insights to support informed business decisions.  

Key Responsibilities  

1. Financial Accounting & Reporting  

• Supervise and oversee day-to-day accounting operations, including OPD and IPD Billing, Accounts Payable, Accounts Receivable, General Ledger, bank reconciliations, journal entries and provisions.  
  

• Ensure accurate and timely monthly, quarterly and annual financial closing in accordance with applicable accounting standards and organizational policies.  
  

• Review Trial Balance, Profit & Loss Account, Balance Sheet, Cash Flow Statements and other financial reports.  
  

• Ensure proper accounting and reconciliation of hospital revenue, expenses, assets, liabilities and provisions.  
  

• Prepare and review monthly MIS, management reports, profitability analysis and financial dashboards.  
  

• Monitor outstanding receivables and payables and ensure timely reconciliation and follow-up.  
  

• Identify accounting discrepancies and ensure timely resolution.  
  

2. Hospital Revenue Cycle & Collection Management  

• Monitor and review revenue generated from IPD, OPD, diagnostics, pharmacy, OT, ICU and other hospital services.  
  

• Ensure reconciliation between hospital billing systems, operational records and accounting books.  
  

• Monitor patient collections through cash, card, UPI, online and other payment modes.  
  

• Review insurance and TPA receivables and coordinate with the relevant teams to ensure timely claim submission, follow-up and settlement.  
  

• Monitor credit billing, discounts, refunds, cancellations, write- offs and other revenue adjustments.  
  

• Analyse revenue trends and identify revenue leakages, billing gaps and process inefficiencies.  
  

• Strengthen controls across the hospital revenue cycle to improve billing accuracy, collections and overall revenue realisation .  
  

• Monitor ageing of patient, corporate, insurance and TPA receivables and drive timely collection.   
  

3. Budgeting, Planning & Financial Analysis  

• Assist management in the preparation of annual budgets, operating plans and financial projections.  
  

• Prepare and monitor departmental budgets and analyse actual performance against approved budgets.  
  

• Conduct variance analysis and provide insights and corrective-action recommendations to management.  
  

• Support financial forecasting and cash-flow planning.  
  

• Identify opportunities for cost optimisation and improvement in operational profitability.  
  

• Provide financial inputs for pricing, service-line profitability and other business decisions.  
  

4. Statutory Compliance  

• Ensure timely compliance with applicable GST, TDS, Income Tax, PF, ESIC and other statutory requirements.  
  

• Ensure timely preparation, review and filing of statutory returns and related documentation.  
  

• Coordinate with tax consultants, auditors and external professionals as required .  
  

• Maintain accurate records and documentation to support statutory compliance.  
  

• Monitor changes in applicable statutory and regulatory requirements and ensure necessary implementation.  
  

5. Audit & Internal Controls  

• Coordinate internal, statutory and tax audits and ensure timely closure of audit requirements.  
  

• Prepare audit schedules, supporting documents and responses to audit observations.  
  

• Strengthen internal financial controls and ensure adherence to approved policies, SOPs and processes.  
  

• Conduct periodic internal reviews of financial and operational processes to identify control gaps, errors, process deviations and potential revenue leakages.  
  

• Ensure appropriate authorisation , supporting documentation and segregation of duties for financial transactions.  
  

• Conduct periodic financial and process audits of key hospital departments, including Pharmacy, Stores, Billing and other revenue-generating or expenditure-related functions.  
  

• Track audit observations and ensure timely implementation of corrective and preventive actions.  
  

6. Cash Flow & Treasury Management  

• Monitor daily cash and bank positions and assess working-capital requirements.  
  

• Prepare and monitor short-term and periodic cash-flow forecasts.  
  

• Ensure adequate availability of funds for day-to-day hospital operations.  
  

• Monitor bank accounts and ensure timely bank reconciliations.  
  

• Review cash collections and deposits and ensure appropriate controls over cash handling.  
  

• Coordinate with banks and financial institutions as required .  
  

7. Vendor, Payable & Procurement Accounting  

• Review vendor invoices, purchase-related accounting and payment processes.  
  

• Ensure timely reconciliation of vendor accounts and resolution of discrepancies.  
  

• Monitor outstanding vendor balances and payment schedules.  
  

• Work closely with Purchase, Stores and Administration teams to strengthen procurement and financial controls.  
  

• Review purchase orders, invoices, supporting documents and payment approvals as per established processes.  
  

• Monitor and review doctor payments, professional fees and related accounting and documentation.  
  

• Ensure appropriate withholding tax and statutory treatment for vendor and professional payments.  
  

8. Team Management & Development  

• Lead, guide and supervise the Accounts & Finance and Billing teams.  
  

• Allocate responsibilities, establish priorities and monitor team performance.  
  

• Ensure adequate coordination between Accounts, Billing and other hospital departments.  
  

• Develop team capabilities through coaching, training and process improvement initiatives.  
  

• Establish accountability and ensure adherence to accounting policies, SOPs and internal controls.  
  

• Drive process discipline, accuracy and timely completion of finance-related activities.  
  

9. Management Reporting & Business Support  

• Provide financial analysis, insights and recommendations to the CEO, Finance Head and hospital management.