Tranquil and Quest Medical and Diagnostics (TQMD), Nigeria Limited is a Diagnostics, Radiological, and Surgical Center that provides high-quality services through our highly qualified and dedicated specialists who make use of advanced technology to provide world-class medical investigative services in Lagos, Nigeria.
Account Receivable Officer
- Job Type: Full Time
- Qualification: BA/BSc/HND
- Experience
- Location: Lagos
- City: Lekki
- Job Field: Finance / Accounting / Audit
Job Overview:
- The Account Receivable Officer is responsible for managing and ensuring accurate and timely collection of payments from patients, insurance companies, and third-party payors. This role involves monitoring accounts, addressing discrepancies, and ensuring compliance with billing regulations. The ideal candidate will demonstrate strong attention to detail, excellent communication skills, and a thorough understanding of claims processing and reimbursement procedures.
Key Responsibilities:
- Ensure accurate and complete follow-up on accounts by understanding carrier-specific reimbursement processes, including eligibility discrepancies, claims form preparation (1500/UB04), DRG, per diem, and case rate reimbursements.
- Contact government agencies, third-party payors, and patients/guarantors via phone, email, or online to resolve outstanding account balances.
- Document all follow-up activity and communications in patient account notes.
- Ensure proper posting of payments and adjustments; identify accounts for secondary billing and follow-up.
- Research and review accounts for balance accuracy, correct payor billing, coding accuracy, denials, and outstanding insurance requests.
- Provide necessary documentation, submit corrections, or escalate payor errors for re-processing.
- Request additional information from patients and payors as needed.
- Review payor contracts to determine expected reimbursements, identify underpayments, and draft payor demand letters.
- Identify billing or coding issues and request re-bills, secondary billing, or corrected bills as necessary.
- Track payor issues and trends, escalating them to management as appropriate.
- Ensure compliance with State and Federal Laws and regulations for managed care and other third-party payors.
- Perform other follow-up and administrative duties as requested by management.
Qualifications & Skills:
- Bachelor’s degree in Accounting, Finance, Business Administration, or related field.
- Proven experience in accounts receivable, billing, or claims processing (healthcare industry experience preferred).
- Knowledge of insurance claim forms (1500, UB04), coding, and reimbursement processes.
- Strong analytical, problem-solving, and organizational skills.
- Excellent written and verbal communication skills.
- Proficiency in Microsoft Office Suite and accounting software.
- Must possess strong knowledge and practical experience in Insurance.
Method of Application
Interested and qualified candidates should send their CV to: hr@tranquilandquest.org.ng using the Job Title as the subject of the email.
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