Billing Officer

Checks and compiles all Insurance claims before submitting them to the respective payers and insurance companies, using coded data to finalize and submit claims to insurance companies.

• Manage account balances to identify outstanding debts or inconsistencies.

  
  

• Collect all necessary information to calculate bills receivable (order amounts, discount rates, etc.).

  
  

• Verify data entered in the accounting system to ensure accuracy of final bills.

  
  

• Issue invoices and bills to customers via various channels (mail, email, etc.).

  
  

• Issue customer account statements periodically or as needed.

  
  

• Receive payments through multiple methods (cash, online payments, etc.) and verify credibility.

  
  

• Send payment reminders and contact customers when assigned.

  
  

• Update accounting records with new payments, balances, and customer information.

  
  

• Answer questions and handle customer complaints regarding bills.

  
  

• Finalize bills after verification with coders.

  
  

• Submit bills to relevant authorities and manage bill submission processes.

  
  

• Maintain discount forms and related documentation in coordination with other departments.

  
  

• Prepare cash cost estimates as required.

  
  

• Submit bills to DOH in accordance with their requirements.

  
  

• For pharmacy claims, verify transactions according to TPA/payer, member ID, card validity, coverage, approvals/LPO, insurance plan, and refunds.

  
  

• Ensure claims are properly dispatched, receiving acknowledgement slips or verifying through the regulatory post office with facility license number.

  
  

• Prepare required monthly reports upon request.

  
  

• Perform any other duties assigned by the HOD within the scope of the job title.

  
  

Occupational Safety & Health (OSH) / Infection Control Responsibilities:

• Comply with all OSH and infection control policies, standards, and procedures, cooperating with hospital management.

  
  

• Work in accordance with documented OSH procedures and instructions.

  
  

• Be familiar with emergency and evacuation procedures.

  
  

• Notify management of OSH hazards, incidents, near misses, and assist with preparation of risk assessments and incident reports.

  
  

• Comply with waste management procedures and policies.

  
  

• Attend OSH/Infection control training programs, mock drills, and awareness programs.

  
  

• Use appropriate personal protective equipment (PPE) and safety systems.

  
  

• Education: Bachelor’s degree in Commerce, Business Administration, or any other relevant field. Paramedical or coding knowledge is an advantage.

  
  

• Experience: Minimum of 2 years in a relevant role.

  
  

• Technical Skills:

  
  

  • Knowledge of cash billing procedures.

    
    

  • Proficient in computer and software applications.

    
    

  • Experienced in MS Office – Word, Excel, and PowerPoint.

    
    

• Organizational Skills: Strong organization and time management abilities.

  
  

• Interpersonal Skills: Effective communication and interpersonal skills for interaction with co-workers, supervisors, and customers.