We are currently hiring for the above position:
Key Responsibilities:
1. Billing and Invoicing:
- Prepare and process invoices for all hospital services, including outpatient, inpatient, pharmacy, laboratory, theatre, and diagnostic services.
- Ensure that all services provided are accurately recorded and billed.
- Generate patient bills and ensure prompt invoicing in accordance with hospital policies.
2. Insurance Claims Processing:
- Verify patient insurance information and coverage prior to billing
- Prepare and submit claims to insurance companies, including NHIF (National Hospital Insurance Fund) and private insurance providers.
- Follow up on unpaid or rejected claims and resubmit claims as necessary.
3.Patient Account Management:
- Maintain accurate and up-to-date records of patient accounts, including charges, payments, and outstanding balances.
- Track and reconcile daily billing transactions with hospital records.
- Work with the credit control department to follow up on overdue accounts and initiate collection procedures.
4. Billing Inquiries and Dispute Resolution:
- Address patient inquiries and concerns regarding billing statements, charges, and payments.
- Assist patients with insurance claims and provide clear explanations of their bills.
- Investigate and resolve billing discrepancies in collaboration with the finance department and clinical teams.
5. NHIF and Insurance Compliance:
• Ensure compliance with NHlF processes for inpatient and outpatient services.
- Maintain knowledge of insurance policies and provider agreements for accurate billing
- Ensure accurate billing for NHIF and private insurance claims.
6. Data Entry and Record Keeping:
- input billing information into the hospital’s billing system, ensuring accuracy and completeness.
- Maintain organized and confidential patient billing records, in line with hospital policies and data protection regulations.
- Generate regular reports on billing activities, collections, and outstanding balances for management review.
7. Collaboration with Departments:
- Collaborate with admissions, finance, pharmacy, and clinical departments to ensure accurate billing of services.
- Coordinate with the finance team for payment allocation and reconciliations.
8. Revenue Assurance:
- Monitor the hospital’s revenue collection processes and recommend improvements to enhance efficiency.
- Ensure that all services provided are billed correctly to minimize revenue leakage.
Qualifications:
Education
- Diploma in Accounting, Finance, Business Administration, or a related field,
- Certification in medical billing or health information management is an added advantage.
Experience
- At least 2-3 years of experience in a hospital or healthcare billing environment.
- Experience with NHiF and insurance billing processes in Kenya is required.
Knowledge
- Knowledge of billing, hospital revenue cycles, and insurance claims in Kenya.
- Understanding of Kenyan healthcare tax regulations.
Applications to be sent to [email protected] clearly indicating the role applied for on the subject line of the email by Tuesday 17th September 2024
