Plainsview Hospital is seeking a competent, detail-oriented and results-driven Outpatient Billing Officer to join its Finance Department.
The successful candidate will be responsible for ensuring accurate, complete and timely billing of all outpatient services while supporting revenue assurance and efficient claims processing.
KEY RESPONSIBILITIES / JOB DESCRIPTION
The successful candidate will be responsible for:
- Capturing all chargeable outpatient services, including consultations, procedures, investigations, medication, consumables and professional fees in the Hospital Information System (HIS).
- Preparing accurate patient, corporate and insurance invoices using approved tariffs and contractual terms.
- Ensuring all services rendered are captured and billed before account closure.
- Identifying and correcting duplicate, omitted, incorrect or unsupported charges.
- Monitoring unbilled outpatient encounters and ensuring same-day billing closure wherever operationally possible.
- Recording payer details, settlement modes and authorization codes for insured patients.
- Responding to patient billing queries and resolving billing discrepancies professionally.
- Coordinating with clinicians, Front Office, Pharmacy, Laboratory, Imaging and other departments to ensure complete charge capture.
- Preparing daily billing summaries, exception reports and pending-encounter reports.
- Ensuring complete and timely handover of finalized outpatient bills and supporting documents to the Claims Officer.
- Supporting revenue assurance, billing verification, audits and initiatives aimed at reducing revenue leakage.
MINIMUM QUALIFICATIONS AND REQUIREMENTS
Applicants should meet the following requirements:
- Diploma in Accounting, Finance, Commerce, Business Administration, Health Records or another related field from a recognized institution.
- CPA Part II or equivalent finance/accounting progression will be an added advantage.
- At least two (2) years relevant work experience in medical billing, healthcare finance, revenue cycle management or a related finance role.
- Experience working in a hospital or healthcare environment is highly desirable.
- Working knowledge of Hospital Information Systems (HIS), ERP systems and Microsoft Excel.
- Knowledge of medical billing procedures, approved tariffs, payer rules and billing documentation.
REQUIRED SKILLS AND COMPETENCIES
- The ideal candidate should demonstrate:
- Strong numerical and analytical skills.
- High accuracy and attention to detail.
- Knowledge of medical billing and revenue assurance.
- Good communication and customer service skills.
- Excellent planning, organization and time-management abilities.
- Problem-solving and discrepancy-resolution skills.
- Integrity, professionalism, confidentiality and accountability.
- Ability to work effectively within a team and meet tight deadlines.