Insurance Billing Officer
2025-03-31T09:03:57+00:00
Lifelink Hospital
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https://www.lifelinkhospital.com/
FULL_TIME
kampala
Kampala
00256
Uganda
Business Management and Administration
Admin & Office
2025-04-07T17:00:00+00:00
Uganda
8
JOB PURPOSE:
Responsible for receiving, identifying, vetting, verifying and taking all insurance clients through the relevant checks at the point of giving service, ensuring that services offered are within the patient’s limits of cover and bridging all gaps that will otherwise lead to loss of funds by the institution.
EDUCATION, EXPERIENCE AND COMPETENCIES
- Minimum of Diploma in Clinical Medicine, Nursing from a recognized OR Bachelor’s Degree in Business Administration or related courses from a recognized institution
- Minimum of 2 years’ experience as an Insurance Billing Officer or in a similar role, preferably in a medical facility
- Written and oral communication
- Proficiency in MS Office
- Good interpersonal skills
- Good Customer care skills
- Observant and detail oriented
- Able to work under pressure
KEY RESPONSIBILITIES
VETTING
- Ensure patients are covered for services being offered through checking finger prints, card validity and card ownership.
- Ensures patients are treated within their limits of cover
- Ensures we do not treat expired/ineligible members.
PRE-AUTH SEEKING
- Seek authorization for procedures, admission, ambulance pickups/drops before the service is provided or given to the patient.
- Have documented authorizations from all insurance partners through emails or hand written letters.
- Attach approvals on claims before submission to the Claims office in Accounts.
CUSTOMER SERVICE/CARE
- Responsible for ensuring all insurance patients are well received, are given all the necessary information relating to their treatment, cover and are smoothly taken through the system (hospital) with minimum setbacks.
- Provide good customer care
BILLINGS/MARKING/TRACKSOLING
- All claims are to be billed using the different billing systems i.e., Track sol, Smart, AAR, Sancare etc.
- For all claims billed off system a reimbursement should be sent and the authorizing person indicated.
CHECKING CLAIM FORMS
One has to go through the claim forms and see if they were properly billed and if they were fully filled and finalized as follows:
Claims date, Employee company /employer, Employee name, Patient phone number, Diagnosis, Key symptoms, Proof of authorizations attached, Services itemized and each billed individually, Claims billed & Signature: Patient & Doctor
PREPARATION OF CLAIM FORMS
- All claim forms must be posted and excelled for proper record keeping and reconciling.
OTHERS RESPONSIBILITIES
- Ensure that the Insurance Billing work stations are kept clean and tidy.
- Always account for equipment received from the Head of Department.
- Attend all Insurance Billing team meetings as may be communicated by the head/supervisors.
- Any other duties as may be assigned by the supervisors.
KEY RESULTS AREAS
- Accurate billing in HMIS Systems, SMART & claim forms
- Ability to meet timelines and deadlines
- Claims tracking & accountability
- Process compliance
- Pre-authorization
- Relationship management
VETTING Ensure patients are covered for services being offered through checking finger prints, card validity and card ownership. Ensures patients are treated within their limits of cover Ensures we do not treat expired/ineligible members. PRE-AUTH SEEKING Seek authorization for procedures, admission, ambulance pickups/drops before the service is provided or given to the patient. Have documented authorizations from all insurance partners through emails or hand written letters. Attach approvals on claims before submission to the Claims office in Accounts. CUSTOMER SERVICE/CARE Responsible for ensuring all insurance patients are well received, are given all the necessary information relating to their treatment, cover and are smoothly taken through the system (hospital) with minimum setbacks. Provide good customer care BILLINGS/MARKING/TRACKSOLING All claims are to be billed using the different billing systems i.e., Track sol, Smart, AAR, Sancare etc. For all claims billed off system a reimbursement should be sent and the authorizing person indicated. CHECKING CLAIM FORMS One has to go through the claim forms and see if they were properly billed and if they were fully filled and finalized as follows: Claims date, Employee company /employer, Employee name, Patient phone number, Diagnosis, Key symptoms, Proof of authorizations attached, Services itemized and each billed individually, Claims billed & Signature: Patient & Doctor PREPARATION OF CLAIM FORMS All claim forms must be posted and excelled for proper record keeping and reconciling. OTHERS RESPONSIBILITIES Ensure that the Insurance Billing work stations are kept clean and tidy. Always account for equipment received from the Head of Department. Attend all Insurance Billing team meetings as may be communicated by the head/supervisors. Any other duties as may be assigned by the supervisors. KEY RESULTS AREAS Accurate billing in HMIS Systems, SMART & claim forms Ability to meet timelines and deadlines Claims tracking & accountability Process compliance Pre-authorization Relationship management
Proficiency in MS Office Good interpersonal skills Good Customer care skills Observant and detail oriented Able to work under pressure
Minimum of Diploma in Clinical Medicine, Nursing from a recognized OR Bachelor’s Degree in Business Administration or related courses from a recognized institution Minimum of 2 years’ experience as an Insurance Billing Officer or in a similar role, preferably in a medical facility Written and oral communication
JOB-67ea5a7d23845
Vacancy title:
Insurance Billing Officer
[Type: FULL_TIME, Industry: Business Management and Administration, Category: Admin & Office]
Jobs at:
Lifelink Hospital
Deadline of this Job:
Monday, April 7 2025
Duty Station:
kampala | Kampala | Uganda
Summary
Date Posted: Monday, March 31 2025, Base Salary: Not Disclosed
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JOB DETAILS:
JOB PURPOSE:
Responsible for receiving, identifying, vetting, verifying and taking all insurance clients through the relevant checks at the point of giving service, ensuring that services offered are within the patient’s limits of cover and bridging all gaps that will otherwise lead to loss of funds by the institution.
EDUCATION, EXPERIENCE AND COMPETENCIES
- Minimum of Diploma in Clinical Medicine, Nursing from a recognized OR Bachelor’s Degree in Business Administration or related courses from a recognized institution
- Minimum of 2 years’ experience as an Insurance Billing Officer or in a similar role, preferably in a medical facility
- Written and oral communication
- Proficiency in MS Office
- Good interpersonal skills
- Good Customer care skills
- Observant and detail oriented
- Able to work under pressure
KEY RESPONSIBILITIES
VETTING
- Ensure patients are covered for services being offered through checking finger prints, card validity and card ownership.
- Ensures patients are treated within their limits of cover
- Ensures we do not treat expired/ineligible members.
PRE-AUTH SEEKING
- Seek authorization for procedures, admission, ambulance pickups/drops before the service is provided or given to the patient.
- Have documented authorizations from all insurance partners through emails or hand written letters.
- Attach approvals on claims before submission to the Claims office in Accounts.
CUSTOMER SERVICE/CARE
- Responsible for ensuring all insurance patients are well received, are given all the necessary information relating to their treatment, cover and are smoothly taken through the system (hospital) with minimum setbacks.
- Provide good customer care
BILLINGS/MARKING/TRACKSOLING
- All claims are to be billed using the different billing systems i.e., Track sol, Smart, AAR, Sancare etc.
- For all claims billed off system a reimbursement should be sent and the authorizing person indicated.
CHECKING CLAIM FORMS
One has to go through the claim forms and see if they were properly billed and if they were fully filled and finalized as follows:
Claims date, Employee company /employer, Employee name, Patient phone number, Diagnosis, Key symptoms, Proof of authorizations attached, Services itemized and each billed individually, Claims billed & Signature: Patient & Doctor
PREPARATION OF CLAIM FORMS
- All claim forms must be posted and excelled for proper record keeping and reconciling.
OTHERS RESPONSIBILITIES
- Ensure that the Insurance Billing work stations are kept clean and tidy.
- Always account for equipment received from the Head of Department.
- Attend all Insurance Billing team meetings as may be communicated by the head/supervisors.
- Any other duties as may be assigned by the supervisors.
KEY RESULTS AREAS
- Accurate billing in HMIS Systems, SMART & claim forms
- Ability to meet timelines and deadlines
- Claims tracking & accountability
- Process compliance
- Pre-authorization
- Relationship management
Work Hours: 8
Experience in Months: 24
Level of Education: associate degree
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