مسؤول فوترة

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.

Responsibilities

3.1 Manage account balances to discover outstanding debts or other inconsistencies
3.2 Collect all information needed to calculate bills receivable (order amounts, discount rates etc.)
3.3 Check the data input in the accounting system to ensure accuracy of final bill
3.4 Issue invoices and bills and sent them to customers through various channels (mail, e-mail etc.)
3.5 Issue customer account statements periodically or whenever necessary
3.6 Receive payments through various methods (cash, online payments etc.) and check for credibility
3.7 Send reminders for payments and contact customers when assigned
3.8 Update accounting records with new payments, balances, customer information etc.
3.9 Answer questions and handle complaints from customers regarding bills
3.10 Finalize bills after verifying with coders.
3.11 Bills submission.
3.12 Maintain discount forms filing along with other departments.
3.13 Prepare cash cost estimates.
3.14 Submit the bills on DOH as per their requirements.
3.15 In the case of pharmacy claims, check the transactions according to TPA/payer, member ID, validity of the card, coverage, approvals/LPO, insurance plan, refunded transactions etc.
3.16 Ensure that the claims are appropriately dispatched by receiving the acknowledgement slip or verifying the regulatory post office with facility license number.
3.17 Can prepare required monthly reports upon request.
3.18 Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
3.19 Comply with all OSH (Occupational safety and health )and infection control policies, standards and procedures and cooperate with hospital management to comply those requirements
3.20 Work accordance with the documented OSH procedures and instructions, specific responsibilities

3.21 Be familiar with emergency and evacuation procedures
3.22 Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk assessments, incident reports
3.23 Comply with Waste management procedures and policies
3.24 Attend applicable OSH/Infection control training programs, mock drills and awareness programs
3.25 Use of appropriate personal protective equipment and safety systems

Qualifications

4.1 Bachelor of Commerce, Business Administration or any other degree. Paramedical or coding knowledge will be advantage.
4.2 Two years minimum of experience.
4.3 Knowledge of cash billing procedure.
4.4 Knowledge in using computer and related software applications.
4.5 MS Office Experience, Word, Excel and Power point.
4.6 Extreme organization skills.
4.7 Communication, interpersonal skills as applied to interaction with co-workers, supervisor and customers.