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 discover outstanding debts or inconsistencies

• Collect all information needed to calculate bills receivable (order amounts, discount rates, etc.)

• Check data input in the accounting system to ensure accuracy of the final bill

• Issue invoices and bills, and send them to customers through various channels (mail, email, etc.)

• Issue customer account statements periodically or whenever necessary

• Receive payments through various methods (cash, online payments, etc.) and verify credibility

• Send payment reminders and contact customers when required

• Update accounting records with new payments, balances, and customer information

• Answer questions and handle customer complaints regarding bills

• Finalize bills after verifying with coders

• Submit bills

• Maintain discount form filings along with other departments

• Prepare cash cost estimates

• Submit bills on DOH as per their requirements

• For pharmacy claims, check transactions according to TPA/payer, member ID, card validity, coverage, approvals/LPO, insurance plan, refunded transactions, etc.

• Ensure claims are appropriately dispatched by obtaining acknowledgment slips or verifying with the regulatory post office using the facility license number

• Prepare required monthly reports upon request

• Perform any other duties assigned by the HOD within the job scope

• Comply with all OSH and infection control policies, standards, and procedures

• Work in accordance with documented OSH procedures and specific responsibilities

• Be familiar with emergency and evacuation procedures

• Notify OSH hazards, incidents, near misses, and support in preparing risk assessments and incident reports

• Comply with waste management procedures and policies

• Attend applicable OSH/Infection Control training programs, mock drills, and awareness programs

• Use appropriate personal protective equipment and safety systems

• Bachelor of Commerce, Business Administration, or any related degree; paramedical or coding knowledge is an advantage

• Minimum of two years’ experience

• Knowledge of cash billing procedures

• Proficiency in using computers and related software applications

• Experience with MS Office (Word, Excel, PowerPoint)

• Strong organizational skills

• Effective communication and interpersonal skills for interacting with co-workers, supervisors, and customers