Billing Officer

DUTIES AND RESPONSIBILITIES

Porting data from HMS, Pharmacy to Invoicing Module on weekly basis.

• Linking the data patient, date, and service wise in the invoicing module verification of rate as per service and agreed discount.
• Ensure services availed by the patient are billed to the insurance companies on monthly basis.
• Ensure invoices are attach with all supporting documents (i.e., claim form, LPO, copy of lab reports, Radiology reports, discharge summary and all other related documents).
• Verify the Card copy of the insurance, net work coverage, pre approval terms and conditions, Co insurance and deductibles are collected from the patient.
• Prepare summary of the billing in the EDX format as per insurance company’s format.
• Re submission of rejected claims with Insurance companies & periodical meeting with Insurance Companies to resolve the policy issues.
• Coordinate with Insurance department, Receptionist , Billing clerk , Nursing and Doctor for effective function
• Performs related duties as assigned.

Port data from HMS and Pharmacy to the Invoicing Module on a weekly basis.

Link patient data, service dates, and service details in the Invoicing Module, ensuring verification of rates as per service and agreed discounts.

Ensure all services availed by the patient are billed to insurance companies on a monthly basis.

Ensure invoices are attached with all required supporting documents (e.g., claim form, LPO, lab reports, radiology reports, discharge summary, and other related documents).

Verify insurance card copies, network coverage, pre-approval terms and conditions, and ensure co-insurance and deductibles are collected from the patient.

Prepare billing summaries in EDX format as per each insurance company's requirements.

Handle re-submission of rejected claims and conduct periodic meetings with insurance companies to resolve policy issues.

Coordinate with the Insurance Department, Receptionists, Billing Clerks, Nursing staff, and Doctors for smooth and effective operations.

Perform related duties as assigned.

Bachelor’s degree in Commerce from an accredited college or university, with major coursework in accounting, auditing, business law, or a closely related field.

Fluent in spoken and written English; Arabic language skills are an advantage but not essential.

Strong communication and interpersonal skills for effective interaction with co-workers, supervisors, and customers.