Billing Executive

Role Overview

Billing Executive at NMC Royal Hospital. This role ensures accurate and timely billing for outpatient and inpatient services in accordance with hospital policies and insurance guidelines.

Role Purpose

The Billing Executive verifies insurance eligibility, processes claims, and delivers high-quality customer service by resolving billing queries, explaining financial responsibilities, and maintaining transparency throughout the billing process to prevent claim rejections and optimize revenue collection.

Key Responsibilities

Insurance Verification & Pre-Admission

• Verify insurance coverage, approvals, co-payments, and policy validity prior to billing.
• Support the admission process by verifying insurance eligibility, capturing accurate patient and policy details, and coordinating with front office and Nursing team.
• Conduct pre-admission checks for insurance eligibility, policy coverage, co-payment details, and documentation accuracy.
• Liaise with the front office and admission desk to ensure proper billing classification and correct insurance tagging at the time of admission.
• Upload required insurance documents (approvals, EIDs, insurance cards) to the EMR for audit and claim submission.

Billing Operations

• 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.
• 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.
• Apply appropriate rate plans, discounts, and DOA approvals as per hospital policy.

Patient Communication & Service

• Address and resolve billing-related inquiries from patients and internal departments.
• Communicate clearly with patients regarding financial responsibilities, estimated costs, and deposit requirements.

Coordination & Monitoring

• Coordinate with insurance, front office, and clinical teams to ensure seamless billing and revenue processes.
• Monitor patient class, package applicability, and treatment changes during hospitalization and coordinate with concerned departments for billing updates.
• Collaborate with clinical teams to capture all billable services, investigations, and procedures timely.
• Escalate discrepancies or delays in billing information to the billing supervisor or RCM manager.

Records & Compliance

• Maintain organized and up-to-date billing records in compliance with hospital policies and audit requirements.

Qualifications & Experience

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

Skills & Competencies

• Accurate and timely billing processing.
• Insurance eligibility verification and claims management.
• Customer service and patient communication.
• EMR system proficiency.
• Attention to detail and record-keeping.
• Cross-functional coordination and collaboration.