BILLING OFFICER (HOSPITAL), HOSPITAL ACCOUNTS
Openings: 1
ACCUREX
Apply NowJob Description
Job Role
1. Role Purpose
The Hospital Billing Officer ensures accurate patient billing, proper insurance processing, and complete financial documentation across the hospital’s revenue cycle. The role provides hands-on support in billing accuracy, claim submissions, patient account reconciliations, and alignment with NHIF and private insurance requirements.
This position oversees day-to-day billing operations including patient invoicing, insurance verification, claim preparation, documentation, and customer support. As the hospital seeks to strengthen its revenue collection and billing integrity, the Billing Officer serves as a critical link in reducing claim rejections, preventing billing errors, and supporting financial sustainability through accurate and timely revenue capture.
2. Key Responsibilities
A. Patient Billing & Invoicing
- Generate accurate inpatient and outpatient bills based on services rendered.
- Ensure correct capture of consultations, procedures, drugs, diagnostics, and radiology services.
- Apply approved service codes, tariffs, and pricing schedules consistently.
- Process cash, card, and insurance transactions through the hospital billing system.
- Ensure timely billing to support efficient patient flow and revenue turnaround.
B. Insurance Verification & Claims Processing
- Verify NHIF and private insurance eligibility for patients before services are offered.
- Obtain pre-authorizations for procedures requiring insurer approval.
- Prepare, validate, and submit accurate insurance claims within required timelines.
- Track claim statuses and follow up on rejections, pending approvals, and clarifications.
- Maintain strong coordination with insurance officers and clinical teams to support claim success.
C. Patient Account Reconciliation
- Reconcile patient billing accounts to ensure full and correct service capture.
- Identify discrepancies and resolve them in consultation with clinical and finance teams.
- Process approved credit adjustments, refunds, reversals, and corrections.
- Maintain up-to-date account statements for all patient categories.
D. Documentation & Records Management
- Maintain organized records: billing sheets, claim forms, approvals, invoices, and patient files.
- Ensure all services billed are supported by appropriate documentation.
- Protect patient data through secure and confidential record-handling practices.
- Update patient billing details in the system accurately and in real time.
E. Compliance & Audit Support
- Ensure strict compliance with NHIF rules, private insurer policies, and hospital SOPs.
- Support internal and external audits with complete and accurate billing documents.
- Apply correct procedure codes, tariffs, and billing formats to reduce errors.
- Promote billing transparency and adherence to medical and regulatory standards.
F. Customer Service Support
- Explain bills, charges, and insurance processes to patients clearly and professionally.
- Support patients in understanding their financial responsibilities and claim procedures.
- Resolve billing-related queries, disputes, or concerns in a courteous manner.
- Maintain strong working relationships with front office, clinicians, and finance teams.
Qualification
Qualifications & Experience
- Diploma or Bachelor’s Degree in Accounting, Finance, Business, Health Records, or related field.
- Experience in hospital billing, insurance claims, or medical records is an added advantage.
- Understanding of NHIF processes and private insurance billing systems.
- Proficiency in hospital billing software and MS Excel.
- High level of accuracy, integrity, and numerical competency.
4. Core Competencies
- Patient billing & documentation accuracy
- NHIF and insurance claim processing
- Revenue reconciliation & account balancing
- Customer service & communication skills
- Analytical and problem-solving ability
- Attention to detail & confidentiality
- Team collaboration across clinical and finance teams
- Time management & process discipline
5. Behavioural Expectations
- Integrity: Maintains confidentiality and transparency in billing operations.
- Professionalism: Demonstrates courtesy, empathy, and clarity in patient interactions.
- Accuracy: Ensures precision in documentation and billing entries.
- Discipline: Follows billing SOPs and timelines consistently.
- Responsiveness: Proactively addresses billing discrepancies and patient concerns.
- Accountability: Owns assigned billing tasks and supports smooth revenue flow.
- Time Discipline: Ensures punctual submission of bills, claims, and reports.
Key Skills
Must have
Performance Management and Development Problem-solving Excellent communication skills Attention to detail Ability to prioritize tasks effectivelyGood to have
Strategic Thinking Communication and Influence Customer FocusAbout The Company
Accurex is a HR Consulting company with focus on enabling Startups, Private, NGOs, and Tech-driven enterprises to address their HR needs through one-stop beskope recruitment, onboarding, training, contract and performance management, coaching, upto retirement/separation. This is made possible through our robust HRMIS and our team of dedicated experts.
Job Details
Employment Type
Full Time
Experience Level
Entry Level
Last Date
29th Dec 2025
Education
Education Level
Bachelor
Professional Qualification
Not Required