Medical Billing Specialist at Turbham Limited

Turbham Limited is recruiting suitably qualified candidates to fill the position below:

Job Title: Medical Billing Specialist

Location: Abuja
Department / LOC: Billing – Downtown
Reports to: Billing Supervisor

Job Description

• The Medical Billing Specialist performs complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of problems. 
• Follows up on submitted claims and patient billing; resubmits claims or correct inaccuracies. May handle cash items and accounts receivable posting. Works with others in a team environment.

Principal Duties and Responsibilities

• Processes billing to patients and third party insurance companies.
• Maintains supporting documentation files and current patient addresses.
• Researches and responds by telephone and / or in writing to patient inquiries regarding billing issues and problems.
• Monitors submitted claims; follows up on unpaid claims, and initiates dialogue with insurance companies.
• Resubmits claims to insurance companies as necessary.
• May receive and receipt cash items and third party reimbursements.
• Posts and reconciles payments to patient ledgers.
• Balances daily batches and reports.
• Maintains patient demographic information and data collection systems.
• Participates in development of organisation procedures and update of forms and manuals.
• Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Evaluates the patient’s financial status and establishes budget payment plans.
• Follows and reports status of delinquent accounts.
• Reviews accounts for possible assignments to collections and makes recommendations.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Works in conjunction with the reception to ensure clean billing.
• Performs miscellaneous job-related duties as assigned.
• Participates in educational activities and attends monthly staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

Qualifications & Skills

• Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience
• Basic Life Support Certification required.
• Strong knowledge of administrative and clerical procedures.
• Proficient in computers and relevant software applications and practice management technology.
• Possession of strong problem solving skills and sound judgment.
• Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.
• Knowledge of customer service principles and practices.
• Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.
• Ability to be proactive and take initiative.
• Exhibit high level of quality through attention to detail and monitoring of work.
• Possession of strong organizational skills.
• Excellent verbal and written communication, as well as exceptional interpersonal communication skills.
• Ability to work independently on assigned tasks, as well as to accept direction on given assignments.
• Deals with confidential information and/or issues using discretion and judgement.

Preferred Experience:

• Prior medical billing and administrative experience in a private medical office.
• Customer service.

Work Environment & Physical Demands:

• Work is performed in an office setting.
• Physical demands of position: sitting, standing, walking, typing, phone communication, face to face conversation.

General Sign Off: 

• The employee is expected to adhere to all company polices. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee.

Salary
N200,000 / Month

Application Closing Date
Not Specified.

How to Apply
Interested and qualified candidates should forward their CV to: hr@turbham.com using the Position as the subject of the email.