Description

The successful candidate will be responsible for managing the hospital’s billing processes, ensuring accurate patient billing, timely insurance claim processing, revenue capture integrity, and compliance with financial and healthcare regulations to support the facility’s financial sustainability.

Key Responsibilities:

• Prepare accurate patient invoices for outpatient, inpatient, and specialized services in accordance with hospital tariffs and insurance agreements.
• Process insurance claims promptly and ensure proper documentation is attached before submission.
• Verify patient insurance details, benefits eligibility, and pre-authorizations before service provision where applicable.
• Reconcile daily billing reports with service departments (pharmacy, laboratory, radiology, theatre, etc.) to ensure completeness of revenue capture.
• Follow up on outstanding claims, rejected claims, and unpaid invoices to minimize revenue leakage.
• Identify billing discrepancies, investigate variances, and implement corrective measures.
• Maintain accurate financial records and ensure all billing transactions are properly posted in the hospital system.
• Generate daily, weekly, and monthly revenue reports for management review.
• Ensure compliance with insurance contract terms, regulatory guidelines, and hospital billing policies.
• Assist in preparing financial data required for audits and management reporting.
• Collaborate with the accounts department to support receivables tracking and account reconciliation.
• Address patient billing inquiries and complaints in a professional and timely manner.
• Support the implementation of internal controls to enhance billing accuracy and fraud prevention.
• Maintain confidentiality of patient financial information in compliance with data protection regulations.
• Participate in revenue cycle improvement initiatives to enhance efficiency and collection rates.

Job Qualifications & Skills

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
• CPA (Part II or above) or equivalent is an added advantage.
• Minimum of 2 years of experience in billing, accounts receivable, or hospital revenue cycle management.
• Strong understanding of insurance claim processing, reconciliation, and financial reporting.
• Proficiency in accounting software and Hospital Management Information Systems (HMIS).
• Excellent numerical, analytical, and problem-solving skills.
• Strong attention to detail and a high level of accuracy.
• Good communication and interpersonal skills.
• Ability to work under pressure and meet strict deadlines.
• High level of integrity and ability to handle confidential financial information.

• Prepare accurate patient invoices for outpatient, inpatient, and specialized services in accordance with hospital tariffs and insurance agreements.
• Process insurance claims promptly and ensure proper documentation is attached before submission.
• Verify patient insurance details, benefits eligibility, and pre-authorizations before service provision where applicable.
• Reconcile daily billing reports with service departments (pharmacy, laboratory, radiology, theatre, etc.) to ensure completeness of revenue capture.
• Follow up on outstanding claims, rejected claims, and unpaid invoices to minimize revenue leakage.
• Identify billing discrepancies, investigate variances, and implement corrective measures.
• Maintain accurate financial records and ensure all billing transactions are properly posted in the hospital system.
• Generate daily, weekly, and monthly revenue reports for management review.
• Ensure compliance with insurance contract terms, regulatory guidelines, and hospital billing policies.
• Assist in preparing financial data required for audits and management reporting.
• Collaborate with the accounts department to support receivables tracking and account reconciliation.
• Address patient billing inquiries and complaints in a professional and timely manner.
• Support the implementation of internal controls to enhance billing accuracy and fraud prevention.
• Maintain confidentiality of patient financial information in compliance with data protection regulations.
• Participate in revenue cycle improvement initiatives to enhance efficiency and collection rates.

• Multi-Skilled
• Strong understanding of insurance claim processing, reconciliation, and financial reporting.
• Proficiency in accounting software and Hospital Management Information Systems (HMIS).
• Excellent numerical, analytical, and problem-solving skills.
• Strong attention to detail and a high level of accuracy.
• Good communication and interpersonal skills.
• Ability to work under pressure and meet strict deadlines.
• High level of integrity and ability to handle confidential financial information.

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
• CPA (Part II or above) or equivalent is an added advantage.