Job Purpose / Objective :
Coordinate and support billing functions by performing routine and complex tasks related to patients’ billings and provide support to Billing Supervisor in day-to-day administrative duties. Ensure efficient, speedy, and error-free billing processes with due diligence and reasonable processing time.
Key Responsibilities / Accountabilities :
- Collect money from patients and ensure that there are advance payments in their balance.
- Identify responsible party by examining patient records.
- Issue invoices by entering service data, calculating charges, and mailing invoices.
- Resolve billing issues by discussing contracts with third-party payers, explaining insurance contracts to patients, and negotiating settlements.
- Maintain patient and invoice files by entering and adjusting data.
- Provide billing information by collecting, analyzing, and summarizing third-party billings, pending accounts, late charges, and trends.
- Send BMRs to insurance companies and follow up to obtain patient approvals promptly.
- Finalize billing statements for discharged patients and provide clearance to attending nurses by 12:00 pm; clear the patient from the system immediately.
- Issue refund invoices for patients in case of advance payments after discharge, and inform Unit Supervisors to return money to patients upon discharge.
- Interface with Unit Supervisors to explain bills and address any doubts from patients or their families.
- Coordinate with Billing Supervisor regarding business promotions, discounts, upgrades, cancellations, and offers for patients.
- Update inpatient billing accounts daily, forward to the unit supervisor, and escalate pending issues to the Patient Services Director.
- Report billing errors or issues to the Billing Supervisor.
- Collaborate with various departments to facilitate smooth processing of patient concerns.
- Act as backup for the Billing Supervisor in their absence, adhering to business ethics.
- Serve as the main contact point for hospital departments regarding approval issues.
- Take responsibility for billing operations during supervisor’s absence or crises.
- Manage daily received bills, monitor discounts offered, and ensure proper control.
- Ensure patients are removed from the computerized system immediately after discharge.
- Monitor the validity of insurance and approval cards for all patients.
- Oversee all invoices and services provided.
- Follow up on scheduled procedures or surgeries.
- Participate in patient-centered care initiatives undertaken by HMG.
- Enhance patient experience with compassion, respect, and dignity.
- Perform other related tasks as assigned within your skills and knowledge.
Education/Professional Qualification:
- Diploma holder; preferably a Bachelor’s degree.
Experience:
- Minimum of 3 years relevant experience, preferably in reputable hospitals.
Professional Licensing / Certification / Training:
Skills:
Compliance with online incident reporting systems, data gathering & assessment, data management & record keeping, process management.