Claims Management Officer

Job Summary: The main purpose of the job is to authenticate billings for patients under cash, insurance and NHIF cover in an accurate and timely manner for claims processing.
Job Specifications/Qualification

Degree or Diploma in Nursing/Clinical Medicine from a recognized institution
Proficiency in use Health Management Information Systems
Computer Literacy (Microsoft packages)
Previous experience in quality assurance will be an added advantage

Job Description

Patient registration, documentation and the formalities (documents/forms required at every stage by the insurance companies
Understanding on general practice the procedures and care and the period of stay as well as standard equipment and drugs
Audit of real time procedures as well as the completeness of documentation of the completed procedures
Ensure safe custody of all documents/LOUs /Guarantee of Payments used in discharging Corporate clients
Serve and protect the hospital’s image by adhering to professional standards, hospital policies and procedures
Follow up with insurance companies, NHIF and other corporate players for timely payment of claims
Review the discharge sheets for accuracy and completion to prepare billing statements
Analyze invoices and data, prepare reports and respond to inquiries concerning billing activities
Check insurance/corporate/ NHIF documents for authenticity and validity
To perform any other duties as assigned by the management

Interested candidates may apply by sending their application to: hr@sttheresahosp-kiirua.com. Include the Claims Management Officer in the title.Deadline of application is Monday 3rd June 2024. Only shortlisted candidates will be contacted.

Apply via :

hr@sttheresahosp-kiirua.com