Responsibilities
Private In - Patient Billing:
- Prepare comprehensive and accurate bills for all private in - patient services.
- Verify charges for procedures, medications, investigations, bed space, consumables, and professional fees.
- Ensure alignment of billed services with medical records and doctors’ notes.
- Review admission and discharge details to ensure complete charge capture.
- Liaise with ward administrators and clinical teams to clarify discrepancies.
HMO & Insurance Claims Processing:
- Prepare and submit insurance claims in line with HMO guidelines and service tariffs.
- Ensure completeness of required documentation treatment notes, authorization codes, investigation reports, etc..
- Track claim submissions and follow up on outstanding approvals or payments.
- Resolve claim rejections, underpayments, or discrepancies in collaboration with the HMO desk.
- Maintain up - to - date knowledge of HMO billing rules and service exclusions.
Revenue Assurance & Cash Flow Support:
- Ensure prompt billing upon discharge to reduce revenue leakage.
- Escalate delayed authorizations or pending bill approvals that may affect cash collection.
- Support month - end revenue reconciliation processes.
- Work closely with Accounts Receivable to track payment status.
Record Management & Documentation:
- Maintain accurate billing records for both private and HMO patients.
- Properly archive billing documents and claim submissions.
- Ensure confidentiality and secure handling of patient financial information.
- Maintain updated billing registers and reporting logs.
Compliance & Accuracy Control:
- Ensure all bills comply with hospital pricing structures and approved tariffs.
- Identify billing inconsistencies and report potential revenue risks.
- Adhere strictly to hospital billing policies and financial controls.
- Participate in internal audits and billing reviews.
Qualifications
- Interested candidates should possess an HND / Bachelor`s Degree with 1 - 5 years experience.
