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LAU Medical Center - Rizk Hospital
Billing Controller

Title: Billing Controller
Category: Service
Department: Billing In
Date Posted: Wednesday, July 17, 2019
Date Revised: July 17, 2019
Work Schedule: Regular schedule (42 hours / week). Overtime as required.

DESCRIPTION 
The person handling this position is responsible to control and report billing errors and ensure correcting, completing, and processing all payers’ claims. She / He is also required to generate computer reports in accordance with established procedures and ensure the completeness and consistency of inpatient billing by controlling invoices of patients on daily basis.
DUTIES & RESPONSIBILITIES (including but not limited to)
 Implement the department’s policies, procedures, protocols and work instructions.  Review patient bills to provide a complete and reliable verification of bill accuracy.  Analyze charge systems for completeness and accuracy and identify trends/problems.  Daily review of all postings before claim submission to TPP in order to assure accuracy of billing for all services rendered and invoiced based on doctor’s orders.  Control patient share if needed and assure correct allocations, distribution in accordance with the established protocol.  Ensure complete review of any hospital bill to monitor and address all potential errors; including coding, code upgrading, fee schedule non-compliance, excessive billing, and fraud.  Daily audit of OR journals of to determine if services billed as Medical Acts and operations were coded correctly and documented adequately.  Ensure that services posted correctly as per TPP “Third Party Payer” admission requirements and the bills are charged according to the insurance approval using “Billing Audit checklist”.  Ensure completion of documentation and coding on charges entered in patient’s accounts for a correct and complete billing claim.  Ensure that irregular financial postings are documented and supported by Authorized managerial signature. o Upgrading and downgrading of class. o Discounts granted. o Physicians Discount.  Identify compliance risk areas and assist with the development and implementation of policies and corrective action plans where indicated to maintain and strengthen internal controls.  Assess the level and accuracy of coding, determine that governmental and third party payer regulations are being complied with; and evaluate appropriateness of billing and coding procedures.  Review Billing coding and pricing (Third Party Compliance) in accordance with companies’ tariffs and agreement.  Assist in response to billing audit requests from outside the department (e.g., Internal audit, others).  Support month-end close process and ensure that closing of day posted for each month is no later than the 5th of the consequent month.  Report audit findings monthly to unit manager and make appropriate recommendations to improve procedures strengthen controls and enhance revenues.  Follow and ensure strict safety procedures.  Respect and adhere to the mission, vision, and values of LAUMC-RH.  Initiate actions to predict the occurrence of non-conformities in materials and services.  Put corrective and preventive actions in place and follow through the process.  Perform other duties pertinent to this job as appropriate or as required.
MINIMUM REQUIREMENTS
 B.S in Business, Accounting or equivalent from an accredited University. Understanding of accounting and auditing standards (IAS, GAAP, ISA, GAAS, etc.).  Minimum of 7 years work experience in similar field.  Good verbal and written English skills. French is a plus.  Proficient in the use of Microsoft Office in filing and processing of data.  Strong knowledge of arithmetic to be able to perform simple calculations.  Strong ability to process data and provide accurate report to management.
REQUIRED SKILLS 
 Good analytical reasoning skills for solving problems.  Possess good knowledge of medical insurance practice.  Possess strong administrative skills for effective coordination of the billing unit.  Well organized and detail-oriented. Excellent time management skills.  Ability to handle highly confidential and proprietary information.+  Ability to work in a team environment. Strong interpersonal skills.  Ability to multi-task, work under pressure.

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