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.