Billing Executive

Role Overview

Billing Executive at NMC Healthcare, responsible for ensuring accurate and timely billing for outpatient and inpatient services in accordance with hospital policies and insurance guidelines, while delivering high-quality customer service to patients.

Role Purpose

The Billing Executive verifies insurance eligibility, co-payment requirements, and policy validity to prevent claim rejections. The role serves as a key point of contact for patients, resolving billing queries, explaining financial responsibilities, and maintaining transparency throughout the billing process.

Key Responsibilities

Billing & Charge Processing

• Generate and process inpatient and outpatient bills accurately and in a timely manner.
• Ensure daily charge posting for all admitted inpatient patients in coordination with clinical documentation.
• Perform daily charge entry for inpatient services based on medical records and department inputs.
• Collaborate with clinical teams to capture all billable services, investigations, and procedures in a timely manner.

Insurance Verification & Documentation

• Verify insurance coverage, approvals, co-payments, and policy validity prior to billing.
• Conduct pre-admission checks for insurance eligibility, policy coverage, co-payment details, and documentation accuracy.
• Upload required insurance documents including approvals, EIDs, and insurance cards to the EMR for audit and claim submission.
• Support the admission process by verifying insurance eligibility, capturing accurate patient and policy details, and coordinating with front office and nursing teams.

Revenue Management & Compliance

• Apply appropriate rate plans, discounts, and DOA approvals as per hospital policy.
• Monitor patient class, package applicability, and treatment changes during hospitalization and coordinate with concerned departments for billing updates.
• Maintain organized and up-to-date billing records in compliance with hospital policies and audit requirements.

Collections & Deposits

• Collect deposits from cash-paying inpatients on a daily basis and update the billing system accordingly.
• Collect advance deposits from self-paying inpatients and update records in the billing system.

Patient & Stakeholder Communication

• Address and resolve billing-related inquiries from patients and internal departments.
• Communicate clearly with patients regarding financial responsibilities, estimated costs, and deposit requirements.
• Liaise with the front office and admission desk to ensure proper billing classification and correct insurance tagging at the time of admission.
• Escalate discrepancies or delays in billing information to the billing supervisor or RCM manager.

Interdepartmental Coordination

• Coordinate with insurance, front office, and clinical teams to ensure seamless billing and revenue processes.

Qualifications & Experience

• Bachelor's degree in Commerce, Accounting, or Business.
• 2–3 years of billing and customer service experience in healthcare; UAE experience preferred.
• Knowledge of UAE insurance processes and EMR systems.

Skills & Competencies

• Leadership.
• Drive Performance and Results.
• Coaching and Mentoring.
• Patient Communication & Care.