At St Dominic Catholic hospital we foster, promote and practice Catholic and Medical ethics and evidence based medicine. St Dominic Catholic Hospital is a 64 bed Faith base hospital providing both primary and secondary medical services.Job Summary
The Health Insurance Officer is responsible for managing all health insurance related activities within the hospital, including claim verification, processing, and payment reconciliation.
They act as a key liaison between the hospital, insurance providers, and patients, ensuring accurate and timely billing and payment for services rendered.
Key Responsibilities
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
Compliance & Documentation:
Maintain accurate records of all billing transactions, claims, and payments.
Stay updated on changes in healthcare insurance Policies.
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.
Prepare and process medical expressions and related documents.
Maintain accurate insurance records and ensure timely follow-ups.
Collaborate with departments and liaise with insurance companies effectively.
Requirements
Minimum of 2 years of relevant experience.
Proficiency in MS Office Suite (Word, Excel, PowerPoint).
Excellent communication, attention to detail, and organizational skills.
