KEY RESPONSIBILITIES:
Accurately bill inpatient and outpatient services in accordance with approved tariffs, contracts, and hospital policies
Generate and post invoices for self-pay and insurance patients
Verify patient details, insurance covers, limits, and authorizations prior to billing
Ensure correct capture of services including consultations, investigations, procedures, pharmacy, and accommodation charges
Reconcile bills with clinical records and resolve billing discrepancies
Prepare and submit insurance claims within agreed timelines
Follow up on pending claims, rejections, and queries in liaison with credit control and insurers
Issue interim and final bills and support discharge billing processes
Maintain accurate billing records, reports, and electronic billing systems
Communicate clearly and professionally with patients, clinicians, and insurers regarding billing matters
Ensure compliance with regulatory, ethical, and confidentiality requirements
Participate in audits, revenue assurance, and quality improvement initiatives
Support price updates, tariff reviews, and system configuration when required
Any other duty as may be assigned
KEY SKILLS AND COMPETENCES:
Knowledge of medical billing systems, insurance processes, and hospital tariffs
Experience in mental health or inpatient billing will be an added advantage
Strong numerical accuracy, attention to detail, and analytical skills
Good communication and customer service skills
High level of integrity, confidentiality, and professionalism
Ability to work independently
KNOWLEDGE AND EXPERIENCE REQUIRED:
Diploma or Degree in Business Administration, Finance, Accounting, Health Records, or a related field
At least 2 years' experience in hospital billing or healthcare revenue cycle management