Insurance Billing Officer – Jobs In Uganda

Lifelink Hospital is hiring an Insurance Billing Officer  responsible for receiving, identifying, vetting, verifying and taking ail 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.

REPORTING T8: Head of Insurance Billing

DUTY STATION: Lifelink Medical Centre

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

BILLING/SMARTING/TRACKSOLING

• All claims are to be billed using the different billing systems i.e., Tracksol, 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 bilied 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 RESULT AREAS

• Accurate billing in HMIS Systems, SMART & claim forms
• Ability to meet timelines and deadlines
• Claims tracking & accountability
• Process compliance
• Pre-authorization
• Relationship management

HOW TO APPLY:

All interested applicants should send a cover letter, CV and academic documents to the Human Resource Manager on  jobs@lifelinkug.com, only email applications will be accepted.

Please indicate the position being applied for in the subject line of your email.

NB Only short-listed candidates will be contacted.

Any form of canvassing will lead to automatic disqualification.