Billing Auditor – Rundu Private Hospital

Job Description

We are seeking a detail-oriented and experienced Billing Auditor to join our dynamic healthcare/medical team. The successful candidate will be responsible for reviewing, auditing, and verifying medical claims, hospital billing, and related financial accounts to ensure accuracy, compliance with tariff structures, and prevention of fraud, waste, or abuse.

Job Summary

• Employer: Rundu Private Hospital
• Job Type: Full-time
• Location: Rundu, Namibia
• Category: Healthcare
• Closing Date: 2026-11-06

Key Responsibilities

• Audit and verify pre-payment medical claims against clinical records, scheme rules, and contracted tariffs on Trimed system.
• Review private hospital billing, ICD-10 coding, CPT/procedure codes, and itemized account statements.
• Identify billing discrepancies, overcharges, duplicate claims, and non-covered services.
• Liaise with healthcare providers, medical practitioners, and internal departments to resolve disputed accounts.
• Prepare comprehensive audit reports, trend analyses, and financial recovery recommendations.
• Ensure adherence to Namibian healthcare regulations, medical aid fund rules, and data privacy standards.

Requirements

• Education: Grade 12 (NSSC) certificate, plus a relevant tertiary qualification in Accounting, Finance, or a Registered/Professional Nurse qualification with strong financial acumen.
• Experience: Minimum of 3 to 5 years of proven experience in claims auditing, medical aid administration, or managed care environments.
• Industry Knowledge: Solid understanding of private hospital billing processes, medical terminology, ICD-10 coding, and healthcare financing in Namibia.
• Skills: Strong analytical and numerical skills. Proficiency in MS Office (advanced Excel) and Trimed hospital billing systems. High level of integrity, attention to detail, and communication skills.

How to Apply

Kindly apply by submitting your applications to www.namibiaatwork.gov.na or to [email protected] or hand deliver to the Human Resources Department at Rundu Private Hospital.

Rundu Private Hospital is an Equal Opportunity Employer and preference will be given to Namibian Citizens and or applicants that has the right to live and work in Namibia. Namibian citizens from previously disadvantaged groups will enjoy preferential treatment

Phone: 066 268 8400