We are seeking a highly skilled and experienced Billing Manager (Medical Services) on behalf of our client, a leading healthcare organization in Abuja, Nigeria. The ideal candidate will oversee all aspects of the medical billing department, ensuring accurate and timely billing processes, maximizing revenue, and maintaining compliance with healthcare regulations.
- Ensure accurate and timely capture of charges for all services provided, review and verify charge data for completeness and accuracy, assign appropriate codes to services and procedures and monitor and improve charge capture processes to maximize revenue.
- Monitor and manage accounts receivable to ensure timely payment of claims, and follow up with payers to resolve billing and payment issues.
- Implement billing policies and procedures compliant with Nigerian healthcare regulations (e.g., NHIS, LASHMA), ensuring alignment with the hospital policies and procedures.
- Monitor and resolve billing errors and discrepancies, utilizing expertise in claims adjudication
- Collaborate with other departments to resolve billing discrepancies and improve overall revenue cycle management
- Negotiate contracts with insurance companies and third-party payers
- Stay up-to-date with industry changes and best practices in medical billing
- Develop and monitor key performance indicators (KPIs) for the billing department
- Implement and maintain quality control measures to minimize errors and maximize reimbursement
- Bachelor's degree in Healthcare Administration, Accounting, Business Administration, or related field
- 5+ years of experience in medical billing, with at least 2 years in a managerial/ Supervisory role
- Possession of a professional certification (ICAN, ACCA) is an added advantage.
- Proficiency in medical billing software and Electronic Health Records (EHR) systems
- Strong knowledge of medical coding, billing procedures, and healthcare regulations
- Excellent analytical and problem-solving skills
- Proven leadership abilities and experience managing teams
- Strong communication skills, both verbal and written
- Proficient in Microsoft Office Suite, particularly Excel
- In-depth understanding of insurance claim processes and reimbursement policies
- Ability to analyze complex data and generate actionable insights
- Detail-oriented with a strong focus on accuracy and efficiency
- Adaptability to changing healthcare regulations and billing requirements
