Billing Officer at St. Lukes Orthopaedics & Trauma Hospital

Job Purpose

The main purpose of the job is to provide correct billing for private and corporate patients under insurance and NHIF cover in an accurate and timely manner.

Key duties and responsibilities

• Prepare billing statements for insurance companies, cash and corporate patients and other third parties;
• Review the discharge sheets for accuracy and completion to prepare billing statements;
• Analyze invoices and data, prepare reports and respond to inquiries concerning billing activities;
• Ensure pre-authorizations are done for corporate and NHIF clients;
• Verify NHIF status and approvals and ensure biometrics capture as per procedure;
• Update patients’ bills daily in coordination with other billing points within the hospital and other external partners;
• Ensure that all services offered are billed/invoiced;
• Update the corporate and cash payers on their bills daily or on-demand;
• Carry out daily routine ward rounds to collect billing information and update the clients and patients;
• Check insurance/corporate/ NHIF documents for authenticity and validity;
• Discharge clients by processing their bills and issuing gate passes;
• Prepare daily, weekly and monthly billing reports;
• Report non-payments of bills to the credit controller;
• Post/process bills in the correct and relevant accounts in the system;
• Prepare the physical corporate / NHIF invoices-claims and attach the relevant documents for dispatch within the agreed credit period;
• Participate in stock take exercises;
• Ensure safe custody of all documents/LOUs /Guarantee of Payments used in discharging
• Corporate clients;
• Serve and protect the hospital’s image by adhering to professional standards, hospital policies and procedures; and
• Any other responsibility assigned to the jobholder by the supervisor from time to time.

Working relationships

• Internal Relationships: All billing points
• External Relationships: Insurance Companies, Corporate Institutions, Patients, NHIF

Knowledge, experience and qualifications required

• Diploma in Business Administration, Economics, Finance or other business-related fields from a recognized institution.
• Partial accounting qualification, i.e. CPA Part II or ACCA 2.
• Minimum of 2 years experience Competencies

Technical & Behavioural competencies

• Computer literacy,
• Accounting skills
• Attention to detail
• Customer relation skills
• Communication skills
• Negotiating skills

Responsibility for finances and physical assets

• The jobholder has no accountability for equipment, stock, finances or revenue

Decision-making

• The jobholder has no final decision-making authority other than routine decisions related to their work within established guidelines