Billing Officer at R-Jolad Hospital

• Position Summary:
• The Billing Officer plays a crucial role in ensuring the accurate and timely processing of patient billing and claims. They are responsible for managing all aspects of the hospital’s billing procedures, including insurance claims, patient accounts, and compliance with relevant regulations.
• The role demands strong attention to detail, a good understanding of healthcare billing procedures, and the ability to work collaboratively with the finance and healthcare teams.

Performance Responsibilities

• Review and verify patient billing information for accuracy and completeness.
• Prepare and submit insurance claims for patient treatments and services.
• Monitor and follow up on pending claims, ensuring timely reimbursement.
• Resolve any billing discrepancies or issues with insurance providers.
• Maintain accurate and up-to date patient account records.
• Generate and send invoices to patients and insurance providers.
• Handle inquiries from patients and insurance companies regarding billing issues.
• Assist patients with understanding their bills and payment options.
• Stay up to date with healthcare billing regulations and guidelines.
• Maintain patient confidentiality.
• Prepare regular reports on billing and collection activities.
• Analyze billing and revenue data to identify trends and discrepancies.
• Provide insights and recommendations to Supervisor for process improvement.
• Collaborate with other departments, such as medical records, front desk, and clinical teams, to resolve billing-related issues.
• Work closely with the finance team to coordinate financial reporting and reconciliation.
• Participate in training and professional development to enhance billing skills and knowledge.
• Identify opportunities for process improvement, automation, and efficiency gains in transactional workflows and systems, and implement changes to enhance accuracy, productivity, and compliance.

Quality Assurance

• Conducting regular audits of billing records to identify and correct any errors or discrepancies.
• Thoroughly review insurance claims before submission to minimize denials and rejections.
• Confirm that all necessary documentation and codes are accurate and complete before claims are sent to insurance providers.
• Maintaining organized and secure records of all billing activities, including invoices, claims, and patient account information.
• Ensuring proper documentation and record-keeping practices following
• healthcare compliance standards.
• Providing clear and accurate billing information to patients, including explanations of their bills, payment options, and assistance with inquiries.
• Handling patient complaints or concerns related to billing with
• professionalism and empathy.
• Monitoring and improving the overall billing experience for patients and insurance companies to enhance customer satisfaction and relationships

Qualification & Competencies

• HND/ Bachelor’s degree in Social Sciences, Accounting, or a related field (preferred).
• Proven experience in medical billing and claims processing.
• Familiarity with healthcare billing software and Electronic Medical records (EMR) systems.
• Excellent attention to detail and organizational skills.
• Tech Savy
• Effective communication and interpersonal skills.
• Knowledge of healthcare compliance and regulations.
• Ability to work well independently and as part of a team.
• Strong problem-solving and analytical skills