Description
The Billing Assistant's primary responsibility is to perform administrative tasks related to hospital service billing. They are responsible for organizing, verifying, and entering medical billing information, procedures performed, materials used, and examinations into the billing system, ensuring correct billing for patients, health insurance plans, and healthcare providers.
**Entering Information into the Billing System:**
* Register and enter into the system data related to medical procedures, examinations, materials, and medications used during patient care.
* Update and verify each patient's information, including costs of services rendered, according to health insurance authorizations or specific contractual terms.
**Verifying Documents and Invoices:**
* Verify patient discharge documents, receipts, and invoices to ensure data accuracy before proceeding with billing.
* Check health insurance authorization details to confirm that all procedures and services performed have been properly authorized.
**Issuing Billing Forms:**
* Issue billing forms for submission to healthcare providers and health insurance plans, in accordance with established price lists and signed contracts.
* Ensure that all data contained in billing forms is complete and accurate to prevent errors or payment rejections.
**Supporting the Insurance and Finance Departments:**
* Support the insurance and finance teams in tracking payments and collections of outstanding amounts.
* Assist in communicating with healthcare providers to resolve billing discrepancies and pending issues.
**Reviewing Medical Documentation:**
* Review medical reports, prescriptions, and other documents to ensure all performed procedures are correctly recorded in billing.
* Assist in interpreting medical procedure codes (e.g., CBHPM or TUSS) and their correct application within systems.
**Managing Accounts Receivable:**
* Assist in verifying amounts receivable from private patients or health insurance plans.
* Monitor the status of collections and follow up on overdue payments.
**Organizing Files and Documentation:**
* Organize and maintain up-to-date files and records related to billing.
* Ensure all records are stored in compliance with confidentiality and data security regulations.