Billing Associate
10 hours ago
General Description of the Job
A Junior Billing Associate (Frontline) is in charge of the accurate and timely preparation of Statement of Accounts for all patients for discharge.
B. Job Description and Activities
1. Answers all Billing related inquiries/concerns.
2. Charge daily room accommodation to all admitted patients.
3. Compute all items not covered by HMO/Insurance to be paid by the patient upon discharge.
4. Compute doctor's professional fees (written in the PF Form).
5. Compute and apply applicable discounts such as:
a. chemotherapy drugs and items with a selling price of Php125,000.00
b. discount as active and retired medical staff
c. regular employees and qualified dependents of ManilaMed and UPSI Group.
d. senior Citizen/PWD discounts.
e. service patients discount
6. Compute and apply medical benefits too:
a. Active Medical Staff
b. MCMI Board and Officers, Executive Committee, and Management Committee.
c. Resident Doctors and their dependents.
7. Compute and apply medical packages such as:
a. Angiogram/angioplasty package
b. CABG package
b. Coronary angiogram package
c. Executive Check-up (ECU)
d. Laparoscopic Cholecystectomy package
e. Maternity packages
f. other packages in the future
8. Filing and keeping of SOA (zero balance) per month.
9. Issuance of MD Benefits Availment Form to all Active Medical Staff to get medicines from MedExpress or in ManilaMed Pharmacy.
10. Make Adjustments to the patient's Statement of Account (SOA) to correct entry (with approved Billing Adjustment Form).
11. Prepare the Daily Discharge Report, and check its accuracy and completeness (attach all required documents like Letter of Authorization and all other documents) before submission to the Billing Section (Back-end).
12. Preparation and computation of UPSI Stockholder hospitalization privileges.
13. Prepare Philhealth reports, as to their completeness before submission to the Billing Section (Back-end).
14. Print Statement of Account (SOA) of fully paid discharged patients for Insurance purposes or reimbursement.
15. Processing of patients' refunds.
16. Performs other tasks or duties that may be assigned from time to time.
Summary of role requirements:
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