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Professional Billing Specialist

3 weeks ago

Singapore beBeeBilling Full time $40,000 - $60,000

Job Title:

Healthcare Finance Professional

The selected candidate will be responsible for ensuring the accuracy and completeness of billing information. This involves checking the creation of medical records, verifying that electronic funds are transferred correctly, and reconciling daily workloads with billable events in the National Billing System.

Key Responsibilities:
  1. Check creation of Medical Encounter (ME) for Emergency Department (ED) and Same Day Admission (SDA) attendances.
  2. Verify the Electronic Funds Confirmation (EFC) process is functioning correctly as designed.
  3. Confirm that Admission Deposits can be posted correctly via Cash Desk.
  4. Reconcile daily workload with billable events created in NBS (completeness).
File Charges:
  1. Test charges (same day) to confirm they are correctly computed.
  2. Verify the accuracy of charges using Bill Sentry.
  3. Review Drop Charges for completeness.
Inflight Monitoring:
  1. Verify the accuracy of Deposit Monitoring reports, payor schemes, and proposals.
  2. Check that top-up deposits can be posted accurately.
  3. Verify that eFC function is correct for Re-FC.
Discharge/End of SOC:
  1. Below the line (BTL) checks to verify bills are tagged correctly with relevant schemes (PMI/MedisheildLife, Medisave, Staff Benefits, MCPS).
  2. Medifund, FAS, NUHS Fund, MAF, MAF+, SMF, and other schemes.
Closed Bill/Batch Bill Job:
  1. Verify timeliness of bill closure and FICO posting.
  2. Check bill pending verification.
  3. Monitor Batch Bill Job run time and completeness.
Claim Submission:
  1. Verify timeliness of claim submission and monitor claim batch.
  2. Check claim return with error, and verify FICO AR posting.

Benefits:

This role offers a unique opportunity to contribute to the success of our organization while developing your skills and expertise in healthcare finance.