Job title: Hospital Billing / HMO Officer Job at Jibs-Ray Nigeria Restricted
Firm:
Job description: Jibs-Ray Nigeria Restricted is a recruitment and consulting firm established in 2018 to proffer manpower options to its shoppers.We’re recruiting to fill the place beneath:Job Place: Hospital Billing / HMO Officer
Job Location: Ikorodu, Lagos
Employment Sort: Full-timePlace Abstract
- The Billing Officer performs a vital function in guaranteeing the correct and well timed processing of affected person billing and claims. They’re accountable for managing all facets of the hospital’s billing procedures, together with insurance coverage claims, affected person accounts, and compliance with related rules.
- The function calls for sturdy consideration to element, an excellent understanding of healthcare billing procedures, and the power to work collaboratively with the finance and healthcare groups.
Obligations
- Evaluate and confirm affected person billing info for accuracy and completeness.
- Put together and submit insurance coverage claims for affected person remedies and companies.
- Monitor and observe up on pending claims, guaranteeing well timed reimbursement.
- Resolve any billing discrepancies or points with insurance coverage suppliers.
- Preserve affected person confidentiality.
- Put together common reviews on billing and assortment actions.
- Analyze billing and income information to establish traits and discrepancies.
- Present insights and suggestions to Supervisor for course of enchancment.
- Preserve correct and up-to date affected person account data.
- Generate and ship invoices to sufferers and insurance coverage suppliers.
- Deal with inquiries from sufferers and insurance coverage firms concerning billing points.
- Help sufferers with understanding their payments and fee choices.
- Keep updated with healthcare billing rules and pointers.
- Collaborate with different departments, comparable to medical data, entrance desk, and scientific groups, to resolve billing-related points.
- Work intently with the finance workforce to coordinate monetary reporting and reconciliation.
- Take part in coaching {and professional} improvement to reinforce billing expertise and data.
- Establish alternatives for course of enchancment, automation, and effectivity positive aspects in transactional workflows and programs, and implement adjustments to reinforce accuracy, productiveness, and compliance.
High quality Assurance:
- Conducting common audits of billing data to establish and proper any errors or discrepancies.
- Totally evaluate insurance coverage claims earlier than submission to attenuate denials and rejections.
- Affirm that every one crucial documentation and codes are correct and full earlier than claims are despatched to insurance coverage suppliers.
- Sustaining organized and safe data of all billing actions, together with invoices, claims, and affected person account info.
- Guaranteeing correct documentation and record-keeping practices following
- healthcare compliance requirements.
- Offering clear and correct billing info to sufferers, together with explanations of their payments, fee choices, and help with inquiries.
- Dealing with affected person complaints or issues associated to billing with
- professionalism and empathy.
- Monitoring and bettering the general billing expertise for sufferers and insurance coverage firms to reinforce buyer satisfaction and relationships
Necessities
- Bachelor’s diploma in Social Sciences, Accounting, or a associated area (most well-liked).
- Confirmed expertise in medical billing and claims processing.
- Familiarity with healthcare billing software program and Digital Medical data (EMR) programs.
Anticipated wage: 100000 – 130000 per thirty days
Location: Ikorodu, Lagos State
Job date: Solar, 25 Aug 2024 23:02:24 GMT
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