Cashiers at Guru Nanak Ramgarhia Sikh Hospital [Guru Nanak R.S Hospital]

About the Position

We invite applications from suitably qualified candidates for the position of Cashier specializing in claims and billing management.

Key Responsibilities

• Ensure adherence to established Standard Operating Procedures (SOPs) in inpatient (IP) and outpatient (OP) claims management
• Verify that all insurance company requirements are met before claims submission
• Follow discharge procedure authorization and billing closing procedures, obtaining appropriate approvals and sign-offs
• Ensure all IP bills and SHIF OP bills are properly closed in HMIS before submission to the Finance Claims Office
• Submit complete sets of claims processing documents and bills to the Finance Claims Office within 24 hours of patient discharge or receipt from OP for SHIF OP bills
• Maintain organized files of IP/OP checklists
• Send daily status reports of all corporate and cash inpatient cases to credit control
• Provide daily status reports to corporates and insurance companies, escalating any situations where patient Letter of Understanding (LOU) or pre-authorization limits are likely to be exceeded within the next 24 hours to request increases or engage patients on cash payment arrangements
• Prepare weekly reports on finalized invoices for the Finance Claims and Credit Control departments, documented in the control book
• Ensure completeness and accuracy of all claims and invoices by verifying pre-authorization/LOU, doctor signatures, client claims and bills, diagnosis presence, case notes, discharge summaries, membership/policy numbers, limit compliance, and applicable smart reports

Qualifications & Experience

• Degree in Finance or Accounting, or ACCA Part 2, CPA K Part, or Sec 2 or above
• 2 years of accounting experience, preferably in a hospital setting

Key Competencies

• Self-motivated and dedicated
• Leadership skills
• Strong people skills
• Honesty and ethical conduct