Job Description

Bill Quality Review:

Conduct regular and systematic reviews of hospital and consultant charges to ensure accuracy and compliance with billing standards. Identify discrepancies, anomalies, or errors in billing data and initiate corrective actions. Collaborate with clinical departments and consultants to clarify billing issues and ensure accurate documentation of services rendered. Maintain records of all billing reviews, including findings, actions taken, and outcomes.
Financial Administration Support:

Assist in the review of actual costs associated with hospital services and compare them with estimated costs. Provide support in the development of cost estimation models based on historical data and current billing practices. Work closely with the Finance team to ensure that Estimation Costs of Procedures records accurately reflect the closest cost of services provided.
Audit Support:

Assist with the preparation and coordination of the periodic audit exercises conducted by insurance companies. Gather and organize necessary documentation and billing records required for audits. Coordinate with clinical and non-clinical team to respond to any queries or discrepancies identified by insurers during post-discharge audits. Ensure timely and accurate communication between the hospital, consultants, and insurance companies throughout the audit process.
Compliance and Documentation:

Ensure all billing activities comply with hospital policies, healthcare regulations, and legal requirements. Stay updated with changes in billing codes, regulations, and standards to maintain compliance. Assist in the development and implementation of billing policies and procedures to enhance accuracy and efficiency.
Collaboration and Communication:

Liaise with the Billing and Finance teams to ensure alignment on financial objectives and billing practices. Provide training and support to staff on billing procedures and compliance issues. Communicate effectively with consultants, clinical staff, and other stakeholders to resolve billing-related queries.
Continuous Improvement:

Participate in quality improvement initiatives related to billing accuracy and financial management. Recommend process improvements based on findings from billing reviews and cost analysis. Stay informed about industry best practices and trends in healthcare billing and financial administration
Job Requirement

Minimum any healthcare related Diploma or Degree with 2 years work experience in the healthcare/medical field rendering direct patient care. Familiarity with clinical procedures, diagnosis, medical terminologies, hospital billing practices and medical insurance coverage. Proficient in using MS Office Professional proficiency in English writing & speaking skill
Job Type: Full-time