Job Summary:
We are seeking a dedicated billing supervisor to manage and oversee the billing operations within our hospital, ensuring that all inpatient bills are accurate, up-to-date, and compliant with insurance and corporate policies. This role requires a keen eye for detail, strong organizational skills, and the ability to work closely with various departments to ensure smooth and efficient billing processes.
Key Responsibilities:
Inpatient Billing:

Ensure real-time updates of all inpatient bills in the MED360 system to guarantee the accuracy and completeness of charges for interim and final bills.
Verify that all necessary patient information is obtained at admission and maintained throughout the stay, including admission forms, insurance policy numbers, and cover limits.
Notify NHIF of patient admissions within 24 hours and send pre-authorization forms to insurance companies and corporations promptly.
Communicate with patients about their coverage and handle situations where cover limits are exceeded, ensuring proper documentation and agreements for cash payments.

Discharge and Billing Closure:

Oversee the closing of patient bills at discharge, ensuring all required documents are attached and accurate before dispatch to the Finance Claims Office.
Confirm that all bills include correct charges, completed claim forms, and necessary documentation such as pre-authorization letters, discharge summaries, and case notes.
Ensure claims are within the authorized limits and include relevant smart reports where applicable.

Claims Processing and Dispatch:

Scan and dispatch all outpatient and inpatient bills to the Finance Claims Office within 24 hours of bill closure, following the standard operating procedures (SOPs).
Maintain accurate records of internal dispatch summary reports (IDS) and ensure all documents are acknowledged and sent to the Finance Claims Office.

Reporting and Communication:

Maintain a file of inpatient checklists and send daily status reports on corporate and cash inpatient accounts to the credit control team.
Provide daily updates to insurance companies and corporates regarding potential exceeded cover limits, requesting increases or cash payments as needed.
Submit weekly reports on finalized invoices to Finance Claims and Credit Control.

Discharge Management:

Ensure that discharge procedures, billing authorizations, and claim submissions follow the laid down protocols.
Submit claims and bills to the Finance Claims Office within 24 hours of patient discharge or receipt of outpatient bills.

Teamwork and Leadership:

Ensure adherence to SOPs in inpatient claims management and compliance with insurance company requirements.
Participate in the implementation of projects within the group operations, ensuring billing functions and system reports are accurate and reliable.

Requirements

Education: Degree in Finance or Accounting, or ACCA Part 2/CPA K Part/Sec 2 or higher.
Experience: At least 2 years of accounting experience, preferably in a hospital setting.
Skills: Self-motivated, strong leadership, excellent people skills, honesty, and ethical conduct.