Billing Officer

Role Overview

This position sits at the heart of the hospital's revenue cycle, ensuring every patient encounter is accurately translated into a bill and every claim moves smoothly toward payment. Day to day, you will prepare itemized statements, verify insurance details, and work with both clinical and administrative teams to correct errors before they become denials or patient complaints. Your attention to detail directly protects the hospital's cash flow and upholds a transparent, trustworthy billing experience for every patient.

Key Responsibilities

• Prepare and issue itemized patient bills and statements that reflect all services, procedures, and supplies rendered during each hospital stay or outpatient visit.
• Verify insurance eligibility and benefits before treatment or admission, flagging any coverage limitations, pre-authorization requirements, or potential patient liabilities.
• Submit accurate medical claims to private insurers, government schemes, and other payors within established deadlines.
• Monitor and track unpaid or rejected claims, investigate root causes, and take corrective action to resubmit or escalate unresolved cases.
• Reconcile daily and monthly payment batches from insurers and patients, matching them against claims and invoices to identify shortfalls or overpayments.
• Respond to patient and insurer inquiries regarding charges, payment plans, and claim status with clear, empathetic communication.
• Maintain organized billing records and documentation in line with hospital policies, while flagging any data discrepancies to the billing supervisor.
• Support internal audits by preparing billing summaries, reconciliation reports, and other financial documentation as required.

Requirements & Qualifications

• Diploma or degree in Finance, Accounting, Business Administration, Health Records, or a closely related discipline.
• At least two years of hands-on experience in healthcare or hospital billing, with a solid grasp of medical billing codes and procedures.
• Prior exposure to medical insurance and claims processing, including knowledge of claim forms and payor requirements, is a strong plus.
• Excellent numerical skills and analytical ability to spot billing inconsistencies, reconcile accounts, and resolve payment discrepancies efficiently.
• Proven customer-service mindset with the patience to explain complex billing matters to patients and colleagues alike.
• Strong command of MS Office, especially Excel, and familiarity with hospital billing or practice management systems.