PURPOSE:
Responsible for receiving and processing claims for provider payment.
PRIMARY RESPONSIBILITIES:
Ensure that all claims received are well stamped and keyed in for future reference
Dispatch received invoices, mails and claim books to respective sections
Dispatch claim forms and other relevant documents to providers
Confirm that smart claims have been billed correctly
Prepare valid claims for scanning
Upload, attach and index relevant documents to Document Management System
Facilitate discarding of scanned claim documents as per the approved disposal procedure
Registration of medical claims in the system
Follow up on registration and reconciliation of provider statements to ensure closure.
Follow through to ensure all claims with issues at registration level have been addressed or escalated to the supervisor for action
Respond to walk in customer enquiries
Attend to customer and service providers’ queries and complaints promptly and professionally
Academic Qualifications
Bachelor’s degree in Commerce or in a related field
Experience
Up to one (1) year relevant experience
Skills and Attributes
Good analytical skills
Excellent communication and presentation skills
Problem solving skills
Excellent interpersonal skills
Computer literate in MS Office and other office applications
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