Responsibilities
Key Responsibilities
Receive and receipt cash from cash clients.
Safeguard and manage the cash at hand for accuracy of transactions.
Daily cash reconciliation reports.
Process refunds for overpaid accounts and ensure that such funds are paid back to the correct payer in a timely manner.
Bill Tracking and claims finalization.
Ensure daily real-time updates of all inpatient services to ensure that all bills are accurate and that all charges have been accurately posted to the Hospital Management Information System(HMIS) at any one point in time to ensure reliable interim and final IP bills.
Ensure all requisite IP documentation is available before, on, or during admission, and that all necessary admission procedures have been duly followed according to specific requirements of different insurance companies and for cash-paying clients, including consents and payment commitments.
Close patient bills at discharge and ensure all required documents are attached to the inpatient bill before dispatch to the credit control.
Internal dispatches documentation.
Ensure completeness and accuracy of claims and invoices and presence of smart reports where applicable.
Weekly and monthly reports on patient bills and documentation.
Maintain a file of the IP checklists.
Analyze invoices and all other relevant data for accuracy and completeness
Daily report on finalized invoices forwarded to the Credit Control and written in the control book.
Timely and professional discharge of IP and day cases.
Ensuring the discharge procedure authorization and billing closing procedures are followed and appropriate approval and sign-off is obtained.
Ensuring all credit bills are properly closed in the system before submission to the credit control office.
Serve and protect the hospital’s image by adhering to professional standards, hospital policies and procedures
Ensuring that all the insurance company requirements are met before claims are submitted
Qualifications
Key Qualifications, Experience, Skills, and Competencies
Excellent attention to detail and accuracy in data entry and documentation.
Effective communication skills and the ability to interact professionally with patients, colleagues, and insurance representatives.
Highly organized individuals, able to multitask and to function effectively under extreme work pressure.
Ability to prioritize tasks, manage time efficiently, and work independently with minimal supervision.
Must have strong work ethics
Education
Diploma in Finance, Accounting, or a related field.
CPA 2 and above
Experience
Three (3) years’ experience in healthcare billing.
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