Account Receivable Officer

4 days ago

Lekki, Lagos, Nigeria Tranquil and Quest Specialist Hospital Full time

Job Overview:

The Account Receivable Officer is responsible for managing and ensuring accurate and timely collection of payments from patients, insurance companies, and third-party payors. This role involves monitoring accounts, addressing discrepancies, and ensuring compliance with billing regulations. The ideal candidate will demonstrate strong attention to detail, excellent communication skills, and a thorough understanding of claims processing and reimbursement procedures.

Key Responsibilities:

  • Ensure accurate and complete follow-up on accounts by understanding carrier-specific reimbursement processes, including eligibility discrepancies, claims form preparation (1500/UB04), DRG, per diem, and case rate reimbursements.
  • Contact government agencies, third-party payors, and patients/guarantors via phone, email, or online to resolve outstanding account balances.
  • Document all follow-up activity and communications in patient account notes.
  • Ensure proper posting of payments and adjustments; identify accounts for secondary billing and follow-up.
  • Research and review accounts for balance accuracy, correct payor billing, coding accuracy, denials, and outstanding insurance requests.
  • Provide necessary documentation, submit corrections, or escalate payor errors for re-processing.
  • Request additional information from patients and payors as needed.
  • Review payor contracts to determine expected reimbursements, identify underpayments, and draft payor demand letters.
  • Identify billing or coding issues and request re-bills, secondary billing, or corrected bills as necessary.
  • Track payor issues and trends, escalating them to management as appropriate.
  • Ensure compliance with State and Federal Laws and regulations for managed care and other third-party payors.
  • Perform other follow-up and administrative duties as requested by management.

Qualifications & Skills:

  • Bachelor's degree in Accounting, Finance, Business Administration, or related field.
  • Proven experience in accounts receivable, billing, or claims processing (healthcare industry experience preferred).
  • Knowledge of insurance claim forms (1500, UB04), coding, and reimbursement processes.
  • Strong analytical, problem-solving, and organizational skills.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office Suite and accounting software.
  • Must possess strong knowledge and practical experience in Insurance.

Job Type: Full-time

Pay: ₦220,000.00 per month

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