Billing Officer at HRLeverage Africa

Job Responsibilities

• Determines patient invoice by capturing services noted in patient chart; clarifying services with physicians.
• Issues invoice by entering service data; calculating charges; mailing invoices.
• Resolves billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.
• Maintains patient and invoice files by entering and adjusting data.
• Provides billing information by collecting, analysing, and summarizing third-party billings, accounts pending, and late charges data and trends.
• Updates job knowledge by participating in educational opportunities.
• Manage account balances to discover outstanding debts or other inconsistencies
• Collect all information needed to calculate bills receivable (order amounts, discount rates etc.)
• Check the data (e.g. tariff) input in the accounting system to ensure accuracy of final bill
• Issue customer account statements periodically or whenever necessary
• Answer questions and handle complaints from customers regarding bills
• Report on activity to upper management
• Daily sorting of processed claims/invoices for corporate and insurance patients.
• Daily monitoring of processed claims and follow up with clients/enrolees to ensure all processed claims are signed.
• Daily sorting of referrals for all corporate organizations and following up with patients who (for some reason) assessed care without referral to bring their immediately.
• Ensure requisite approvals for processing of corporate / insurances invoices/claims are obtained.
• Ensure medical reports / encounter form are written / completed for organizations are require them for processing of bills/payment.
• Daily inpatient / outpatient bills monitoring
• Monthly preparation and submission of corporate/insurance bills before official deadline
• Report errors on tariffs (uploaded or hard copy) to appropriate officer in charge
• Preparation of monthly bills dispatch report
• Supervising billing officers and ensuring they are up to date with their assigned functions
• Reconciliation of invoices/payment variations with corporate organizations
• Attending organized unit meetings
• Preparation and timely submissions of daily, weekly, monthly, quarterly yearly report as may be requested by the Head of unit or Manager
• Clearing patients for admission and discharge.
• Preparation and dispatch of month account statement to family account holders
• Preparation of daily inpatient report.
• Advice and update inpatients on their bills

Person's Specification

• 2-5 years of experience as Billing Officer in a hospital or related field
• Degree in Accounting
• Proficient in MS Office especially Excel; working knowledge on ODOO or MediPlus
• Excellent Math Skills