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Claims Officer - Guru Nanak Ramgarhia Sikh Hospital [Guru Nanak R.S Hospital], Nairobi

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

Nairobi, Kenya CDI

Publiée il y a 2 mois · Expire dans 3 semaines

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Description du poste

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

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