Job Purpose
The main purpose of the job is to provide correct billing for patients under cash, insurance and NHIF cover in an accurate and timely manner.
Key duties and responsibilities
Prepare billing statements for insurance companies, cash and corporate patients and other third parties
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
Ensure pre-authorizations are done for corporate and NHIF clients
Verify NHIF status and approvals and ensure biometrics capture as per procedure
Update patients’ bills daily in coordination with other billing points within the hospital and other external partners
Ensure that all services offered are billed/invoiced
Update the corporate and cash payers on their bills daily or on-demand
Carry out daily routine ward rounds to collect billing information and update the clients and patients.
Check insurance/corporate/ NHIF documents for authenticity and validity
Establish payment arrangements with patients; monitor payments; following up with patients when payment lapses occur
Discharge clients by processing their bills and issuing gate passes
Prepare daily, weekly and monthly billing reports
Post/process bills in the correct and relevant accounts in the system
Prepare the physical corporate / NHIF invoices-claims and attach the relevant documents for dispatch within the agreed credit period
Participate in stock take exercises
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
Any other responsibility assigned to the jobholder by the supervisor from time to time
Follow up with insurance companies, NHIF and other corporate players for timely payment of claims
ETIMS: entering all corporate invoices in ETIMS, generating all receipts and filling them according to receipt number.
Qualifications
Degree or Diploma in Business Administration, Economics, Finance or other business-related fields from a recognized institution.
Partial accounting qualification, i.e. CPA Part II or ACCA 2.
Minimum of 4 years’ experience, with two years in a billing function
Must have experience in processing NHIF and insurance claims
Competencies
Computer literacy,
Accounting skills
Attention to detail
Customer relation skills
Communication skills
Negotiating skills
Interested candidates are invited to submit their cover letter and some detailed curriculum vitae ONLY: Including names and contacts of three references to hr@optimumhospital.com on or before 30th June 2024The email subject line MUST include the job title being applied e.g., “CLAIMS”Canvassing of any nature will lead to automatic disqualification.
Apply via :
hr@optimumhospital.com
