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.
Main 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.
- Corporate Governance
- Carry out all activities in
an ethical way
- Report any unethical
behavior
- Quality Standards
- Record and report all sentinel
incidents/events are recorded and reported within 24 hours using the
provided tools (incident reporting book in terms of customer
dissatisfaction or incident reporting form where applicable)
- Client satisfaction – ensure client satisfaction
through quality of service, communication, feedback and escalation of any
unresolved issues to your respective line manager.
- Assist the receptionists in their role when
called upon.
- Any other duty that as assigned to you by your
supervisor in line with your job description.
Key Deliverables for this position
- Ensure accurate billing.
- Timely finalization and dispatch of invoices.
- Proper documentation and records maintenance.
Academic and Professional Qualifications
- A Diploma or Degree in Accounting, Finance, or a
related field from a recognized institution.
- Professional certification such as CPA-from Part
2) or its equivalent will be an added advantage.
- At least 1-2 years of experience in an
accounting role, preferably in a medical or healthcare facility.
How to Apply
