Avenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare.

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.

Key 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.
• Client satisfaction – ensure client satisfaction through quality of service, communication, feedback and escalation of any unresolved issues to your respective line manager.
• Ensure accurate billing.
• Timely finalization and dispatch of invoices.
• Proper documentation and records maintenance.

Person Specification

• Bachelors Degree in Commerce with CPA II.
• Minimum 2 years experience.
• Strong interpersonal and communication skills
• Attention to detail
• Customer focus.