Billing Associate at Lily Hospitals Limited

Responsibilities
Private In - Patient Billing:

• Prepare comprehensive and accurate bills for all private in - patient services.
• Verify charges for procedures, medications, investigations, bed space, consumables, and professional fees.
• Ensure alignment of billed services with medical records and doctors’ notes.
• Review admission and discharge details to ensure complete charge capture.
• Liaise with ward administrators and clinical teams to clarify discrepancies.

HMO & Insurance Claims Processing:

• Prepare and submit insurance claims in line with HMO guidelines and service tariffs.
• Ensure completeness of required documentation (treatment notes, authorization codes, investigation reports, etc.).
• Track claim submissions and follow up on outstanding approvals or payments.
• Resolve claim rejections, underpayments, or discrepancies in collaboration with the HMO desk.
• Maintain up - to - date knowledge of HMO billing rules and service exclusions.

Revenue Assurance & Cash Flow Support:

• Ensure prompt billing upon discharge to reduce revenue leakage.
• Escalate delayed authorizations or pending bill approvals that may affect cash collection.
• Support month - end revenue reconciliation processes.
• Work closely with Accounts Receivable to track payment status.

Record Management & Documentation:

• Maintain accurate billing records for both private and HMO patients.
• Properly archive billing documents and claim submissions.
• Ensure confidentiality and secure handling of patient financial information.
• Maintain updated billing registers and reporting logs.

Compliance & Accuracy Control:

• Ensure all bills comply with hospital pricing structures and approved tariffs.
• Identify billing inconsistencies and report potential revenue risks.
• Adhere strictly to hospital billing policies and financial controls.
• Participate in internal audits and billing reviews.

Qualifications

• Interested candidates should possess an HND / Bachelor`s Degree with 1 - 5 years experience.