Description

To ensure accurate, timely, and compliant billing of patient services, insurance claims, and payments while supporting financial sustainability and a positive patient experience.

KEY RESPONSIBILITIES:

• Accurately bill inpatient and outpatient services in accordance with approved tariffs, contracts, and hospital policies
• Generate and post invoices for self-pay and insurance patients
• Verify patient details, insurance covers, limits, and authorizations prior to billing
• Ensure correct capture of services including consultations, investigations, procedures, pharmacy, and accommodation charges
• Reconcile bills with clinical records and resolve billing discrepancies
• Prepare and submit insurance claims within agreed timelines
• Follow up on pending claims, rejections, and queries in liaison with credit control and insurers
• Issue interim and final bills and support discharge billing processes
• Maintain accurate billing records, reports, and electronic billing systems
• Communicate clearly and professionally with patients, clinicians, and insurers regarding billing matters
• Ensure compliance with regulatory, ethical, and confidentiality requirements
• Participate in audits, revenue assurance, and quality improvement initiatives
• Support price updates, tariff reviews, and system configuration when required
• Any other duty as may be assigned

KEY SKILLS AND COMPETENCES:

• Knowledge of medical billing systems, insurance processes, and hospital tariffs
• Experience in mental health or inpatient billing will be an added advantage
• Strong numerical accuracy, attention to detail, and analytical skills
• Good communication and customer service skills
• High level of integrity, confidentiality, and professionalism
• Ability to work independently

KNOWLEDGE AND EXPERIENCE REQUIRED:

• Diploma or Degree in Business Administration, Finance, Accounting, Health Records, or a related field
• At least 2 years’ experience in hospital billing or healthcare revenue cycle management

• Accurately bill inpatient and outpatient services in accordance with approved tariffs, contracts, and hospital policies
• Generate and post invoices for self-pay and insurance patients
• Verify patient details, insurance covers, limits, and authorizations prior to billing
• Ensure correct capture of services including consultations, investigations, procedures, pharmacy, and accommodation charges
• Reconcile bills with clinical records and resolve billing discrepancies
• Prepare and submit insurance claims within agreed timelines
• Follow up on pending claims, rejections, and queries in liaison with credit control and insurers
• Issue interim and final bills and support discharge billing processes
• Maintain accurate billing records, reports, and electronic billing systems
• Communicate clearly and professionally with patients, clinicians, and insurers regarding billing matters
• Ensure compliance with regulatory, ethical, and confidentiality requirements
• Participate in audits, revenue assurance, and quality improvement initiatives
• Support price updates, tariff reviews, and system configuration when required
• Any other duty as may be assigned

• Knowledge of medical billing systems, insurance processes, and hospital tariffs
• Experience in mental health or inpatient billing will be an added advantage
• Strong numerical accuracy, attention to detail, and analytical skills
• Good communication and customer service skills
• High level of integrity, confidentiality, and professionalism
• Ability to work independently

• Diploma or Degree in Business Administration, Finance, Accounting, Health Records, or a related field
• At least 2 years’ experience in hospital billing or healthcare revenue cycle management