Billing Officer at First Rivers Hospital Limited

Key Responsibilities

• Generate and review patient invoices for accuracy, completeness, and compliance with hospital billing procedures
• Ensure every patient receives appropriate billing and payment is processed through the cashier
• Process bills between the 1st and 4th of every month as per hospital policy
• Maintain accurate billing records and ensure correspondence with treatments provided
• Reconcile patient accounts and process complex financial transactions
• Serve as primary liaison between Health Maintenance Organizations (HMOs) and the hospital's medical team
• Verify patient eligibility and obtain necessary pre-authorizations from HMOs
• Process HMO claims submissions and ensure timely payment collection
• Ensure all HMO platforms are adequately followed and patients are treated according to their plans
• Handle HMO patients whose coverage requires additional authorization or private payment
• Maintain secure and accurate patient billing databases
• Prepare and transmit insurance claims using electronic and paper processing methods
• Follow up on unpaid claims to minimize revenue loss
• Handle patient and insurance inquiries regarding billing matters
• Ensure compliance with healthcare regulations and hospital policies

Qualifications and Requirements
Educational Background:

• Minimum of an HND / Bachelor's Degree in Accounting, Finance, Business Administration, or related field
• Professional certification in healthcare billing (preferred).

Experience:

• Experience in hospital billing or HMO operations
• Experience with medical billing software, portals and HMO platforms
• Knowledge of medical terminology and ICD-10 coding system.

Technical Skills:

• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint)
• Working knowledge of Google Docs and project management tools
• Experience with billing software and electronic claims processing.

Core Competencies:

• Excellent communication and customer service skills
• Strong analytical and problem-solving abilities
• Attention to detail and accuracy in financial transactions
• Time management and organizational skills
• Knowledge of healthcare insurance policies and regulations
• Ability to handle multiple tasks simultaneously.