Senior Manager – Accounts

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.