Medical Billing Officer

Job Overview

Healthlane Medical Centre is currently seeking a qualified Medical Billing Officer to join our team in Kalulushi, Zambia. This full-time position ensures the accurate and timely processing of NHIMA and private medical insurance claims.

Key Responsibilities

• Verify NHIMA and private insurance eligibility and confirm patient benefits and limits.
• Process billing for NHIMA, private medical schemes, and corporate health schemes.
• Prepare and submit insurance claims with complete supporting documentation.
• Manage pre-authorisations for procedures, investigations, and admissions.
• Monitor submitted claims and follow up on pending, rejected, or queried cases.
• Maintain confidentiality of patient, insurance, and financial information at all times.

Requirements

• A diploma in Clinical Medicine or Nursing is advantageous but not mandatory.
• Minimum of two years’ experience in medical billing, insurance claims processing, or a related role.
• Familiarity with NHIMA and private medical insurance processes and tariffs.
• Proficient computer skills, including MS Office and billing systems.
• Exceptional attention to detail and accuracy in work.