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 and Professional Requirements
Education
Bachelor’s Degree in a relevant field,E
Computer literate in MS Office and other office applications
Relevant technical training certificate / part qualification in relevant
Experience Required:
One year relevant experience
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