Cashiers at Guru Nanak Ramgarhia Sikh Hospital [Guru Nanak R.S Hospital]

Guru Nanak Ramgarhia Sikh Hospital [Guru Nanak R.S Hospital]

Nairobi, Kenya Permanent

Published 1 month ago · Expires 4 weeks from now

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Job description

We invite applications from suitably qualified candidates. Key Responsibilities: - Ensure adherence to the laid down SOPs in IP/OP Claims management. - Ensuring that all the insurance company requirements are met before claims are submitted - Ensuring the discharge procedure authorization and billing closing procedures are followed and appropriate approval and sign off is obtained. - Ensuring all IP bill and SHIF OP bills are properly closed in HMIS before submission to Finance Claims Office. - Ensure complete set of claims processing documents and bill is sent to Finance Claims Office within 24 hours of patient discharge or receipt from OP for SHIF OP bills. - Maintain a file of the IP/OP checklists. - Sending daily status report of all corporate and cash IPs to credit control. - Sending daily status report to corporates and insurance escalating any situation where patient LOU/Pre-Auth limit is likely to be exceeded within the next 24 hours to request for increase/top up in limit or if not engage patient on cash payment to top up. - Weekly report on finalized invoices forwarded to Finance Claims and Credit Control and written in the control book. - Ensure completeness and accuracy of claims and invoices (ensuring pre-authorization and/or LOU, signing by the doctor and client claim and bill, presence of diagnosis and clear case notes and discharge summary, membership/policy number, claims are within the limit) and presence of smart reports where applicable. Qualifications & Experience: - Degree in Finance or Accounting or ACCA Part 2/CPA K Part/Sec 2 or above - 2 years accounting experience preferably in hospital setup Key Competencies: - Self-Motivated, Dedicated, Leadership Skills, People-Skills, Honest, Ethical Check how your CV aligns with this job

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