Location: Ughelli, Delta
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.