Fresh Vacancies at First Rivers Hospital

Requirements

• Candidate must possess an HND / B.sc qualification in Medical Records from a recognized institution. HMO
• 1 - 5 years of experience is required.
• Valid practicing license from the relevant body is mandatory.
• Candidate must possess a good National Diploma in Medical Records Technician with at least 3 years post-qualification cognate experience and should be fully registered with the Institute of Medical Record Technicians of Nigeria.
• Ensuring that all medical records are protected and kept confidential
• Welcome and direct patients and visitors in a professional manner.
• Handle patient registration and appointment scheduling.
• Manage phone calls, enquiries, and patient follow-ups.
• Maintain a clean and organized reception area.
• Must be Computer Literate.

Competency and Technical Skill Requirements:

• Proficiency in MS Office, with exceptional knowledge of Excel and PowerPoint
• Working knowledge of Google Docs, Excellent customer relationship skills, Computer proficiency
• Organizational skills
• Communication skills
• Ability to multi-task
• Time management.

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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 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.