Role Summary
The role holder will ensure timely collection of outstanding payments with the aim of keeping debt levels at a minimum and effectively conclude reconciliations contributing to the overall financial sustainability of the hospital’s operations. He/she will assist in ensuring payer-provider service level agreement guidelines and communications are disseminated in a timely manner and enforced.
Key Duties and Responsibilities
Follow up for timely payment of all due amounts as per the SLA to preserve the cash flow position.
Establish debtor follow-up and recovery mechanisms to reduce bad debts.
Undertake monthly account reconciliation and send out statements as per the hospital’s credit control policy and timelines.
Ensure timely dispatch of processed claim documents to insurance companies.
Confirm and communicate all dispatches and statements to insurance companies every month.
Handle disputes regarding bills and follow up to bring payment within the agreed terms.
Follow up on remittances and ensure timely allocation of payments received.
Undertake timely periodic reconciliation and sign-offs of debtor accounts.
Client relationship management, including responding to queries on credit business professionally and efficiently and coordinating with various teams to meet client needs with the hospital.
Ensure timely updates of schemes and plans on the HMIS and to service teams.
Continuous sensitization of the client services, clinical and claims processing teams on insurance feedback and requirements.
Identify changes in payment patterns and propose action to avert indebtedness.
Prepare and timely submit dynamic progress reports, e.g. disputed claims, rejections, collection efficiency, etc., to the Supervisor.
Perform any other duties as may be assigned by the Supervisor from time to time.
Competencies Required
Excellent customer service skills.
Effective communication skills – listening, oral and written.
Excellent negotiation skills.
Highly ethical, has integrity and observes confidentiality.
Strong work ethic with attention to detail.
Sound analytical, problem-solving, and decision-making skills.
Ability to work under pressure and meet timelines with minimum supervision.
Highly organized with good time management skills.
Good interpersonal skills and a team player.
Qualifications and Experience
Bachelor of Commerce in Finance, Accounting or related degree from a recognized institution.
Professional qualifications such as Certified Public Accountant (CPA) K / ACCA.
At least five (5) years of working experience, with at least three (3) years in a busy credit control hospital setting.
Knowledge of medical terminology and medical bills documentation evaluation.
Good working knowledge of Accounting Softwares, MS Office Suite (Excel, Word, PowerPoint, and Outlook) and the Internet.
Interested applicants who meet the requirements should email the below documents to halisifamilyhospital@gmail.com, clearly indicating the job title on the email subject, no later than 5:00 pm on or before 24th August 2024.
Apply via :
halisifamilyhospital@gmail.com
