About this role
About the Role Responsible for accurate and timely processing of patient billing and claims, managing insurance claims, patient accounts, and ensuring compliance with healthcare regulations. This role requires strong attention to detail and collaboration with finance and clinical teams. What You'll Do
- Review and verify patient billing information for accuracy and completeness.
- Prepare and submit insurance claims for patient treatments and services.
- Monitor and follow up on pending claims to ensure timely reimbursement.
- Resolve billing discrepancies or issues with insurance providers.
- Maintain accurate and up-to-date patient account records.
- Generate and send invoices to patients and insurance providers.
- Handle enquiries from patients and insurance companies regarding billing issues.
- Assist patients with understanding their bills and payment options.
- Stay up to date with healthcare billing regulations and guidelines.
- Maintain patient confidentiality.
- Prepare regular reports on billing and collection activities.
- Analyse billing and revenue data to identify trends and discrepancies.
- Provide insights and recommendations to the supervisor for process improvement.
- Collaborate with medical records, front desk, and clinical teams to resolve billing-related issues.
- Work closely with the finance team to coordinate financial reporting and reconciliation.
- Participate in training and professional development to enhance billing skills and knowledge.
- Identify opportunities for process improvement, automation, and efficiency in transactional workflows and systems, and implement enhancements to improve accuracy, productivity, and compliance.
- Conduct regular audits of billing records to identify and correct errors or discrepancies.
- Thoroughly review insurance claims before submission to minimise denials and rejections.
- Ensure all necessary documentation and codes are accurate and complete before submitting claims.
- Maintain organised and secure records of all billing activities, including invoices, claims, and patient account information.
- Ensure proper documentation and record-keeping practices in line with healthcare compliance standards.
- Provide clear and accurate billing information to patients, including explanations of bills, payment options, and assistance with enquiries.
- Handle patient complaints or concerns related to billing with professionalism and empathy.
- Monitor and improve the overall billing experience for patients and insurance companies to enhance customer satisfaction and relationships. What We're Looking For
- HND/Bachelor’s Degree in Social Sciences, Accounting, or a related field (preferred).
- Proven experience in medical billing and claims processing.
- Familiarity with healthcare billing software and Electronic Medical Records (EMR) systems.
- Excellent attention to detail and organisational skills.
- Tech-savvy.
- Effective communication and interpersonal skills.
- Knowledge of healthcare compliance and regulations.
- Ability to work well independently and as part of a team.
- Strong problem-solving and analytical skills.