Billing Officer at The African Medical Centre of Excellence (AMCE)

Job Purpose

• The Billing Officer will be responsible for managing all aspects of AMCE’s billing operations, including patient accounts, insurance claims, and compliance with regulations. The role holder will ensure invoices are accurate, payments are collected on time, and revenue is reconciled efficiently, contributing to the hospital’s goal of delivering accurate billing and a seamless patient experience.

Key Accountabilities/Responsibilities

Billing Operations

• Generate and review invoices to ensure accuracy, completeness, and compliance with service records and agreements.
• Process billing adjustments, credits, and refunds in line with policies.
• Ensure timely dispatch of invoices to patients, insurers, and other stakeholders.
• Verify billing data against clinical and administrative documentation to resolve discrepancies.

Payment Collection and Reconciliation

• Monitor, track, and follow up on outstanding payments within specified timelines.
• Reconcile payments received with billing records and financial reporting systems.
• Resolve disputes or discrepancies in patient or payer accounts in a timely and professional manner.
• Communicate with patients and insurance providers regarding balances, payment options, and collection plans.

Compliance and Regulatory Adherence

• Ensure billing processes comply with hospital policies, government regulations, and healthcare standards.
• Stay updated on changes in billing codes, insurance requirements, and industry regulations.
• Support billing audits and address compliance-related issues in billing processes.

Customer and Stakeholder Engagement

• Serve as the main contact for billing inquiries from patients, insurance companies, and internal departments.
• Provide clear explanations of billing charges and resolve disputes professionally.
• Collaborate with clinical and administrative teams to ensure proper documentation for accurate billing.

Process Optimization and Reporting

• Identify areas for improvement in billing workflows and support implementation of technology solutions.
• Develop and maintain billing standard operating procedures (SOPs).
• Prepare billing reports, including payment collections, aging reports, and outstanding balances, to support decision-making.
• Track and analyze billing performance metrics to drive efficiency and accuracy.

Risk Management

• Monitor denied claims, late payments, and potential billing errors, implementing corrective actions.
• Identify and mitigate risks such as fraudulent claims or incorrect charges.
• Ensure complete documentation is maintained to minimize revenue leakage and resolve disputes.

Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field.
• Accounting certification (e.g., ACA, ACCA) is an added advantage.

Experience

• 1–4 years’ experience in billing, preferably in a healthcare setting.
• Familiarity with medical billing codes, insurance processes, and healthcare revenue cycle management.
• Experience with billing software and ERP systems.
• Strong knowledge of healthcare billing and coding.
• Understanding of revenue cycle management and payment reconciliation.
• Proficiency in billing software and Microsoft Excel for analysis and reporting.