Inpatient Billing Nurse at Avenue Healthcare

Job Objective/Purpose

To ensure accurate and complete billing of inpatient services in accordance with Avenue Healthcare’s defined policies, procedures, standards and strategies.

Key Responsibilities

• Daily review of patients’ billing statements, including all discharged patients, for accuracy and completion prior to finalization of the invoices.
• Ensure services noted in the patient’s chart are billed and clarify any other services rendered with attending clinicians.
• Resolve incoming queries on billing from patients, insurance companies, consultants or colleagues in a professional and efficient manner.
• Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends.
• Prepare billing statements for insurance companies, patients and other third parties.
• Prepare reports and respond to inquiries concerning billing activities.
• Participate in audits, service evaluations and process reviews to enhance the delivery of billing service to customers/stakeholders.
• Ensure all patient encounters and procedures are posted correctly with the current ICD and CPT codes.
• Client satisfaction (patient, consultants and others)- ensure client satisfaction through optimal quality of care, effective communication, timely feedback and escalation of unresolved issues
• Oversee the Education of staff, including orientation and Training to ensure performance improvement on patient billing.
• Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
• Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services.
• Any other duty as assigned by the supervisor.

Personal Specifications

• Diploma in Nursing (KRCHN) or BsN 
• A valid Nursing License from NCK 
• Finance Training (CPA III) highly desirable 
• 1+ years nursing experience and 2+ years’ experience in a similar role, preferably in a Hospital set-up 
• Strong interpersonal skills, team playing abilities, and communication skills. 
• Highly responsive, ethical and responsible