Cashiers at Guru Nanak Ramgarhia Sikh Hospital [Guru Nanak R.S Hospital]
Guru Nanak Ramgarhia Sikh Hospital [Guru Nanak R.S Hospital]
Nairobi, Kenya
CDI
Publiée il y a 1 mois · Expire dans 4 semaines
Description du poste
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.
- Degree in Finance or Accounting or ACCA Part 2/CPA K Part/Sec 2 or above
- 2 years accounting experience preferably in hospital setup
- Self-Motivated, Dedicated, Leadership Skills, People-Skills, Honest, Ethical
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