Job Summary:

We are seeking a dedicated billing supervisor to manage and oversee the billing operations within our hospital, ensuring that all inpatient bills are accurate, up-to-date, and compliant with insurance and corporate policies. This role requires a keen eye for detail, strong organizational skills, and the ability to work closely with various departments to ensure smooth and efficient billing processes.

Key Responsibilities:

Inpatient Billing:

• Ensure real-time updates of all inpatient bills in the MED360 system to guarantee the accuracy and completeness of charges for interim and final bills.
• Verify that all necessary patient information is obtained at admission and maintained throughout the stay, including admission forms, insurance policy numbers, and cover limits.
• Notify NHIF of patient admissions within 24 hours and send pre-authorization forms to insurance companies and corporations promptly.
• Communicate with patients about their coverage and handle situations where cover limits are exceeded, ensuring proper documentation and agreements for cash payments.

Discharge and Billing Closure:

• Oversee the closing of patient bills at discharge, ensuring all required documents are attached and accurate before dispatch to the Finance Claims Office.
• Confirm that all bills include correct charges, completed claim forms, and necessary documentation such as pre-authorization letters, discharge summaries, and case notes.
• Ensure claims are within the authorized limits and include relevant smart reports where applicable.

Claims Processing and Dispatch:

• Scan and dispatch all outpatient and inpatient bills to the Finance Claims Office within 24 hours of bill closure, following the standard operating procedures (SOPs).
• Maintain accurate records of internal dispatch summary reports (IDS) and ensure all documents are acknowledged and sent to the Finance Claims Office.

Reporting and Communication:

• Maintain a file of inpatient checklists and send daily status reports on corporate and cash inpatient accounts to the credit control team.
• Provide daily updates to insurance companies and corporates regarding potential exceeded cover limits, requesting increases or cash payments as needed.
• Submit weekly reports on finalized invoices to Finance Claims and Credit Control.

Discharge Management:

• Ensure that discharge procedures, billing authorizations, and claim submissions follow the laid down protocols.
• Submit claims and bills to the Finance Claims Office within 24 hours of patient discharge or receipt of outpatient bills.

Teamwork and Leadership:

• Ensure adherence to SOPs in inpatient claims management and compliance with insurance company requirements.
• Participate in the implementation of projects within the group operations, ensuring billing functions and system reports are accurate and reliable.

Requirements

• Education: Degree in Finance or Accounting, or ACCA Part 2/CPA K Part/Sec 2 or higher.
• Experience: At least 2 years of accounting experience, preferably in a hospital setting.
• Skills: Self-motivated, strong leadership, excellent people skills, honesty, and ethical conduct.