Experienced Hospital Health Insurance Billing Executive at Lagos Executive Cardiovascular Centre (LECC)

Job Title: Experienced Hospital Health Insurance Billing Executive

Job Overview

• The Health Insurance Billing Manager will oversee the billing operations related to health insurance claims and patient insurance reimbursements.
• This role is crucial for ensuring accurate, timely, and efficient processing of health insurance claims and managing relationships with health insurance companies (HMOs) to optimize revenue collection.
• The ideal candidate will have a strong understanding of healthcare billing practices, insurance reimbursement policies, and excellent leadership skills.

Key Responsibilities
Insurance Billing & Claims Management:

• Oversee the entire billing process for health insurance claims, ensuring accurate and timely submission to insurance providers (HMOs).
• Ensure proper documentation for insurance claims, including medical coding, billing codes, and patient information.
• Resolve any discrepancies or issues with rejected claims, working closely with insurance companies and healthcare providers to ensure timely reimbursement.
• Manage the submission of claims for both inpatient and outpatient services, ensuring that all charges are appropriately captured and billed.

Team Management:

• Lead and supervise the billing team, providing guidance, training, and support to ensure high performance.
• Assign billing tasks and monitor the completion of billing cycles in a timely and accurate manner.
• Conduct regular team meetings to address challenges, provide updates on policy changes, and ensure continuous improvement in billing processes.

Compliance & Documentation:

• Ensure compliance with all relevant healthcare billing regulations, including those set by insurance providers, regulatory bodies, and internal policies.
• Maintain accurate records of all billing transactions, claims, and payments.
• Stay updated on changes in healthcare insurance policies, reimbursement structures, and coding systems (ICD-10, CPT).

Revenue Cycle Management:

• Collaborate with the finance department to monitor and improve the revenue cycle, identifying opportunities to increase revenue collection and reduce claim denials.
• Develop and implement billing strategies to improve the efficiency and accuracy of the billing process, ensuring optimal reimbursement for services provided.

Customer Service & Dispute Resolution:

• Handle inquiries from insurance companies, patients, and other stakeholders regarding billing issues, claims status, and payments.
• Work closely with the patient services department to resolve any billing-related concerns, ensuring a positive patient experience.
• Resolve billing disputes and follow up on unpaid claims to ensure timely and accurate payments.

Qualifications

• Bachelor’s Degree in Health Administration, Finance, Business, or related field (Master’s degree preferred).
• Minimum of 2 years of experience in healthcare billing and insurance claims management, with at least 2 years in a managerial position.
• Strong knowledge of health insurance billing practices, medical coding (ICD-10, CPT), and insurance reimbursement policies.
• Proven leadership skills, with experience managing a team and driving performance.
• Excellent organizational skills and the ability to manage multiple tasks in a fast-paced environment.
• Attention to detail with strong analytical skills to assess billing data and resolve discrepancies.
• Proficiency in medical billing software and Microsoft Office Suite (Excel, Word).
• Strong communication skills, both written and verbal, with the ability to interact effectively with insurance providers, healthcare teams, and patients.
• Knowledge of Nigerian healthcare insurance providers (HMOs) is an advantage.

Application Instructions:

The application deadline is no 31st January, 2025. Qualified and interested candidates should send their updated Resume to: [email protected] using the Job Title as the subject of the email.

Note: Only qualified candidates will be contacted. It is important to visit the official website (link found below) for detailed information on how to apply successfully for this vacancy.

Website:
Official Job Website: https://thelecc.com/