Inpatient Billing Nurse at Avenue Healthcare

Job Objective/Purpose

To ensure accurate and complete billing of inpatient services in accordance with Avenue Healthcare’s defined policies, procedures,standards and strategies

Key Responsibilities

• Daily review of patients’ billing statements, including alldischarged patients, for accuracy and completion prior tofinalization of the invoices.
• Ensure services noted in the patient’s chart are billed andclarify any other services rendered with attendingclinicians.
• Resolve incoming queries on billing from patients,insurance companies, consultants or colleagues in aprofessional and efficient manner.
• Provide billing information by collecting, analyzing, andsummarizing third-party billings, accounts pending, andlate charges data and trends.
• Prepare billing statements for insurance companies,patients and other third parties.
• Prepare reports and respond to inquiries concerningbilling activities.
• Participate in audits, service evaluations and processreviews to enhance the delivery of billing service tocustomers/stakeholders.
• Ensure all patient encounters and procedures are postedcorrectly with the current ICD and CPT codes.
• Client satisfaction (patient, consultants andothers)-
• Ensure client satisfaction through optimal qualityof care, effective communication, timelyfeedback and escalation of unresolved issues.
• Oversee the Education of staff, includingorientation and Training to ensure performanceimprovement on patient billing.
• Ensure that Avenue Healthcare corporategovernance policies are adhered to, includingpreventing, detecting, and reporting any fraud orcriminal activities, and Implementing auditrecommendations.
• Ensure adequate knowledge of, and complianceto all Avenue Healthcare policies, procedures,and systems, especially policies pertaining to theprovision of medical services.
• Any other duty as assigned by the supervisor inline with the job description.

Personal Specifications

• Diploma in Nursing (KRCHN) or BsN
• A valid Nursing License from NCK
• Finance Training (CPA III) highly desirable
• 1+ years nursing experience and 2+ years’ experience in a similar role, preferably in a Hospital set-up
• Customer focus
• Strong interpersonal skills, team playing abilities, and communication skills.
• Highly responsive, ethical and responsible
• Method of Application