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:

1. 
   Inpatient Billing:

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  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.
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  Verify that all necessary patient information is obtained at admission and maintained throughout the stay, including admission forms, insurance policy numbers, and cover limits.
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  Notify NHIF of patient admissions within 24 hours and send pre-authorization forms to insurance companies and corporations promptly.
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  Communicate with patients about their coverage and handle situations where cover limits are exceeded, ensuring proper documentation and agreements for cash payments.

2. 
   Discharge and Billing Closure:

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

3. 
   Claims Processing and Dispatch:

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  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).
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  Maintain accurate records of internal dispatch summary reports (IDS) and ensure all documents are acknowledged and sent to the Finance Claims Office.
  4.
  Reporting and Communication:
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  Maintain a file of inpatient checklists and send daily status reports on corporate and cash inpatient accounts to the credit control team.
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  Provide daily updates to insurance companies and corporates regarding potential exceeded cover limits, requesting increases or cash payments as needed.
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  Submit weekly reports on finalized invoices to Finance Claims and Credit Control.

5. 
   Discharge Management:

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

6. 
   Teamwork and Leadership:

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  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.