Billing Officer

ABOUT WASHINGTON HEALTHCARE

Founded in 2015, Washington Healthcare PLC has grown into Ethiopia’s premier healthcare provider, operating two medical centers with 80 beds, two pharmacies, and a diagnostic center staffed by over 300 healthcare professionals, serving more than 2 million patients. The organization combines advanced medical technology with internationally informed healthcare practices to deliver high-quality, accessible care to both local communities and international patients, driven by a strong commitment to excellence, accessibility, and innovation.

The Billing Officer is responsible for preparing, processing, and maintaining accurate patient bills and insurance claims to ensure timely revenue collection and efficient revenue cycle management. The role supports the hospital's financial operations by ensuring that all billable services are accurately captured, invoices are generated promptly, payments are properly recorded, and billing records comply with organizational policies and applicable regulations. The Billing Officer works closely with clinical departments, cashiers, patients, insurance providers, and the finance team to ensure efficient and customer-focused billing services.

KEY RESPONSIBILITIES:

Patient Billing Duties:

• Prepare accurate and timely bills for inpatient, outpatient, emergency, laboratory, pharmacy, radiology, and other hospital services.
• Verify that all services, medications, procedures, and consumables are correctly captured before billing.
• Review patient accounts to ensure billing information is complete and accurate.
• Generate invoices, receipts, credit notes, and other billing documents as required.
• Correct billing errors and discrepancies in coordination with relevant departments.
• Ensure all billing activities are completed within established turnaround times.

Insurance and Corporate Billing Duties:

• Prepare and process insurance and corporate client claims in accordance with contractual requirements.
• Verify patient insurance eligibility and coverage before claim submission.
• Submit insurance claims accurately and within required timelines.
• Follow up on outstanding insurance claims and coordinate the resolution of rejected or disputed claims.
• Maintain proper documentation supporting insurance and corporate billing transactions.
• Reconcile insurance payments against submitted claims.

Revenue Collection and Account Reconciliation Duties:

• Monitor outstanding patient and insurance balances.
• Follow up on unpaid invoices and outstanding accounts.
• Reconcile billing records with payments received.
• Assist in identifying billing discrepancies and revenue leakage.
• Support month-end reconciliation of billing transactions and accounts receivable.
• Maintain accurate records of collections and outstanding balances.
• Billing Administration and Record Management Duties
• Maintain complete, accurate, and confidential billing records.
• Ensure proper filing and documentation of billing transactions.
• Update billing information in the Hospital Information System (HIS) and other financial systems.
• Prepare daily, weekly, and monthly billing reports.
• Assist with month-end and year-end billing activities.
• Ensure compliance with document retention requirements.
• Customer Service Duties
• Respond to patient, insurance, and corporate client inquiries regarding billing and payments.
• Explain billing charges, payment procedures, and insurance coverage to patients when required.
• Resolve billing-related complaints professionally and promptly.
• Coordinate with clinical departments to clarify billing information and resolve discrepancies.
• Maintain confidentiality of patient financial information.
• Compliance and Quality Assurance Duties
• Ensure compliance with hospital billing policies, financial procedures, and applicable Ethiopian laws and regulations.
• Follow internal control procedures related to billing and revenue collection.
• Assist internal and external auditors by providing required billing documentation.
• Report suspected billing errors, fraud, or irregularities to the Billing Manager or Finance Manager.
• Participate in continuous quality improvement initiatives related to billing operations

Other Duties as Required:

• Participate in departmental meetings and training programs.
• Support revenue cycle improvement initiatives.
• Assist other finance team members during peak workloads.
• Perform other duties assigned by the Billing Manager, Finance Manager, or senior management.

Apply now through this portal — click "Apply for this Position".

REQUIRED MINIMUM QUALIFICATIONS:

• Bachelor's Degree in Accounting, Accounting and Finance, Finance, Business Administration, Health Information Management, Healthcare Administration, or a related field.
• Minimum of three (3) years of relevant experience in billing, finance, accounting, accounts receivable, or revenue cycle management.
• Experience in hospital or healthcare billing is highly preferred.
• Experience working with insurance claims and corporate billing is an advantage.

KNOWLEDGE, SKILLS AND ABILITIES:

• Good knowledge of hospital billing processes and revenue cycle management.
• Understanding of insurance claim processing and reimbursement procedures.
• Basic knowledge of Ethiopian tax regulations and financial compliance requirements.
• Strong numerical, analytical, and problem-solving skills.
• Proficiency in Hospital Information Systems (HIS), Electronic Medical Records (EMR), billing software, and Microsoft Office applications, particularly Excel.
• Excellent communication, customer service, and interpersonal skills.
• Strong organizational skills with attention to detail and accuracy.
• Ability to work under pressure, manage multiple priorities, and meet deadlines.
• High level of integrity, confidentiality, and professional ethics.
• Ability to work effectively both independently and as part of a multidisciplinary team.