Claims Officer

An exciting opportunity has arisen for a motivated professional. Key Responsibilities: - Ensure all invoices and claims from Outpatient Clinic and Inpatient Billing Clerks Office are received in Finance Claims Office as per the SOPS - Ensure all IDS (Internal Dispatch Summary Reports) are acknowledged via signing and a copy sent/scanned and emailed to the billing clerk's office on weekly basis. - Ensure completeness and accuracy of claims and invoices (signing by the doctor and client, presence of diagnosis, membership/policy number, claims are within the limit) and presence of smart reports where applicable - Ensure all EDS (External Dispatch Summary Report) are acknowledged/stamped received by respective Insurance/Client contact person and a copy sent back and received by Finance Claims Office daily basis. This stamped external dispatch report must be scanned and save in the claims cloud folder and hard copy filed. - Maintain details of contact person at each insurance who is responsible for receiving and confirming receipts of invoices and claims dispatched. - Submitting monthly reports on the status of designated insurance and internal dispatch reports - Ensure adherence to the laid down SOPs in Claims management - Ensuring that all the insurance company requirements are met before claims are submitted. - Participate in preparation or implementation of project of choice within the group operations during the year-MED 360 Ensure claims functions and reports in the system are working properly and continuously. Required 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: - Must have strong work ethics - Good mathematical background - Proficient in Excel and Word and experience with automated. accounting systems - Ability to sort, check, count, and verify numbers Ability to multi-task, prioritize and work efficiently