Billing Clerk at Savannah Healthcare

Purpose of the job:

To accurately register and generate billing statements for clients.

Duties and Responsibilities:

• To correctly capture the prerequisite demographic information into the HMIS for all patients coming for treatment
• Process and progress preauthorization properly for medical bills undertakings for clients with insurance covers.
• To perform any clerical duties relating to registration and billing in line with the standing orders.
• Billing of patients.
• Review the cost sheet of discharged patients for accuracy and completion in order to prepare billing statements.
• Prepare billing statements for insurance companies, patients and other third parties.
• Process refunds for overpaid accounts.
• Prepare reports and respond to inquiries concerning billing activities.
• Analyze invoices and data for accuracy and completeness.
• Serve and protect the hospital’s image by adhering to professional standards, hospital policies and procedures.
• To check if disease code in the discharge summary matches with what was done to the patient before invoicing
• To fill in daily admission and claim forms and attach the correct requirements during discharge
• To communicate appropriately and provide information to patients in relation to the processes of the hospital
• Any other duties may be assigned by the head of department or management.
• To uphold office etiquette.
• To make sure that the card is fully paid and premiums to exceed at least three months from the time of discharge to avoid claims being rejected
• To ensure that claims are Batched as per medication accorded
• To submit all Batched claims to SHIF Branch for processing and payments

Minimum Qualifications

• An understanding of how to read medical invoices and coding language.
• Knowledge of medical terminology.
• Knowledge of medical billing software.
• Knowledge of medical documentation evaluation.
• Attention to Detail.
• Exceptional customer service and organizational skills.
• Strong problem solving and sound judgment skills.
• Excellent time management skills.
• Excellent communication and IT skills will be added advantage.
• Ability to multi-task, work under pressure and unsupervised.
• Ability to adapt quickly to change
• A holder in CPA II/ACCA Equivalent
• At least two (1-2) years prior experience in billing in a hospital.
• Computer literate