Manager - Audit & Accounts

About Company

The company operates in the healthcare industry, providing hospital-based medical services, patient care, and specialized treatment across various medical disciplines.

Job Description

1. Role Overview

• Department: Finance & Accounts
• Location: Hyderabad
• Reporting To: Finance Director / MD / Chief Financial Officer
• Employment Type: Full-time, on-site
• Experience: 8–10 years, with hospital/healthcare accounting experience; Big Four experience preferred.
• Role Summary: Manage accounting, financial reporting, internal and statutory audit coordination, taxation, compliance, hospital billing and receivables, while supervising the accounts and billing team.

2. Key Responsibilities

A. Accounting and Financial Reporting

• Maintain the general ledger and ensure accurate and timely recording of hospital transactions.
• Manage month-end, quarter-end and year-end closing, including accruals, provisions, prepaids and depreciation.
• Prepare financial statements, trial balance, supporting schedules and MIS reports for management and the board.
• Prepare department-wise and doctor-wise profitability reports across cardiology, orthopaedics, ICU, OT, diagnostics and pharmacy.
• Reconcile bank accounts, payment gateways, POS/UPI collections and cash counters daily.
• Maintain the medical equipment fixed asset register, including capitalization, depreciation and physical verification.

B. Internal Audit and Financial Controls

• Conduct periodic internal audits of billing, discharge, pharmacy, stores, procurement and payroll.
• Verify IPD/OPD bills against tariffs, packages and treatment records to identify revenue leakage.
• Audit doctor payouts, consultant fees and referral payments against agreements.
• Test internal controls, document audit findings and monitor corrective actions through closure.
• Support NABH, government scheme and other regulatory audits on finance-related matters.

C. Hospital Billing and Receivables

• Oversee billing accuracy for OPD, IPD, day-care, emergency and package cases.
• Monitor TPA, insurance, corporate and government scheme receivables, including CGHS, ECHS, PM-JAY and state schemes.
• Reconcile claims submitted, approved, settled and disallowed.
• Follow up on claim deductions and ageing.
• Review patient deposits, refunds, discounts and write-offs against approval policies.

D. Inventory, Pharmacy and Vendor Management

• Reconcile pharmacy and consumables stock with accounting records.
• Investigate stock variances, expiries and shrinkage.
• Verify purchase orders, GRNs and vendor invoices through three-way matching before payment.
• Manage vendor ledgers, payment schedules and vendor reconciliations.

E. Taxation and Statutory Compliance

• Ensure GST, TDS/TCS and income tax compliance, including returns, payments and reconciliations.
• Coordinate with consultants on tax assessments, notices and filings.
• Maintain records required under company law and applicable accounting standards (Ind AS / AS).

F. Budgeting and Financial Planning

• Prepare annual budgets and monthly budget-versus-actual variance reports.
• Support cash flow forecasting and working capital management.

G. Team Management and Process Improvement

• Supervise and train junior accountants, billing executives and cashiers.
• Improve accounting processes, SOPs and system controls within the HIS/ERP.

3. Qualifications and Experience

Required

• CA (Inter or qualified), CMA, or M.Com / MBA (Finance).
• B.Com candidates with strong hospital experience may be considered.
• 7–10 years of accounting and audit experience, including 2–4 years in a multi-specialty hospital or healthcare group.
• Hands-on experience managing statutory and internal audits end to end.
• Working knowledge of GST, TDS, income tax and applicable accounting standards.

Preferred

• Experience in TPA/insurance claim reconciliation and government health schemes.
• Exposure to NABH or similar accreditation processes.
• Previous experience supervising a team of three or more.
• Big Four experience is also mentioned as a preference in the role overview.

4. Skills and Competencies

• Accounting and Audit: Ledger accounting, financial closing, reconciliations, audit sampling and testing.
• Financial Analysis: Cost analysis and department-wise profitability reporting.
• Hospital Operations: Tariffs, packages, IPD/OPD billing, insurance and scheme claims, pharmacy inventory and doctor payout structures.
• Systems: Tally Prime, Hospital Information System (HIS) and advanced Excel, including pivot tables and lookups.
• Compliance: GST, TDS, income tax, company law records and internal controls.
• Personal Competencies: Attention to detail, integrity, deadline discipline, clear communication with doctors and management, and team leadership.