28 Aug 2024

Billing Supervisor at Bridge Talent Management

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Job Description

One HR information system to manage your employees’ entire employment lifecycle. Build an incredible workplace and grow your business with our all-in-one platform.

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.


Method of Application

Submit your CV and Application on Company Website : Click Here

Closing Date : 6 September. 2024





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