Job Objective/Purpose
To ensure that all services rendered are billed appropriately per patient episode and that all requisite documentation is collated with invoices and claims forms before being processed for onward transmission to insurance companies.
Key Responsibilities
To ensure that all services rendered are billed appropriately per patient per episode
Ensure all smart cards are run and invoices are signed by clients
Ensure bills are as per the set limits by the insurance and if they surpass, seek approval
Seek pre-authorizations from various insurances
Ensure patients are billed under correct insurance schemes
Ensure all claims forms are collected from various department, sick sheets and relevant invoices are attached, and they are complete (diagnosis, doctor’s and patient signature, stamped).
Prepare and dispatch insurance and direct credit invoices to the accounts receivable team within the stipulated deadlines
Ensure all OP bills are finalized in the hospital information system
Filling of supporting documents
Maintain client/patient privacy and confidentiality at all times.
Client satisfaction – ensure client satisfaction through quality of service, communication, feedback and escalation of any unresolved issues to your respective line manager.
Ensure accurate billing.
Timely finalization and dispatch of invoices.
Proper documentation and records maintenance.
Person Specification
Bachelors Degree in Commerce with CPA II.
Minimum 2 years experience.
Strong interpersonal and communication skills
Attention to detail
Customer focus.
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