Billing Officer

Ensures through his/her actions, either directly or indirectly, that a superior quality of medical treatment, compassion and understanding is given to every patient served at the NMC Hospitals and Clinics.

Daily collection and checking of documents received from Laboratory, Radiology, and Physiological Testing and Pharmacy department.

Daily checking of claim forms received from OPD and ER department with the referral letter and Insurance ID attached.

Check if the attached Insurance ID is correct.

Send approvals to the Insurance or Direct Companies whenever it is necessary.

Make a copy for the missing claims.

Checking of prescriptions received from Pharmacy department and transfer the 1^st week account to the current month/ account for all patients under Insurance and Direct Companies.

Approved refund of payment for services and investigations done to the patient.

Executing shortage notes regarding incomplete attachment of the Registration forms (Wrong ID copy attached, No Referral attached, Expired Insurance Card attached or Terminated Membership, etc.)

Compare the invoice with the consolidated table and print the company wise summary and send the final consolidated table with the invoice to the billing supervisor

Receive new/ updated Policies from the Insurance and Direct Companies. Encode those policies or make the necessary updates in the system – Policy set-up.

Collection of all documents received form OPD, ER, Laboratory, Radiology, Physical Therapy, Physiological Testing and Pharmacy.

Sorting of documents divided into first half (1-15) and 2^nd half (16-30) to their respective grouping.

Sorting of late received documents.

Segregation of finished group of documents for attaching to the invoice details.

Collection of finished checked claims and sorting according to their respective Insurance Companies and Financial Group and submitting them to the Billing supervisor

Finding the sorted documents and disseminating to the respective staff for filing.

Performs additional tasks and duties as assigned by Superiors.

Qualifications:

Education:

Bachelor's Degree in Accountancy.

A minimum of:

two (2) years’ experience on the same job post.

Good command over English Language.

Considerable knowledge of PC operations and software (Word Processing, database and spreadsheet) are required.