Job Purpose:
The role holder will be responsible for Medical Accounting including; Fund management, premium collections, provider reconciliations and ensuring that provider payments are made on time. The role will report to the Finance Manager.
Key Responsibilities:
Payments and Reconciliation
Prepare monthly hospital pay out targets for major providers and send the list to Medical Claims Team leader
Generate and send remittance advises for payments made to the respective medical providers including with the invoice details.
Review pay outs on a regular basis with an aim of ensuring that monthly pay out targets for major providers are met.
Perform reconciliations with provider statements and ensure resolution of outstanding balances on a timely basis.
Reconcile Britam Credit account facilities with the various providers and ensure the same are maintained within the agreed SLAs.
Monitor medical provider guarantees ensuring timely renewal of expired guarantees and cancellations for discontinued providers.
Fund & Insured Schemes Management
Monitor utilisation of funded schemes and follow up on replenishment at 75% utilisation
Generate and issue monthly fund utilisation statements and Insured schemes on request
Advise cashier on the receipting and allocation for all medical collections including; Insured premiums, Funded schemes and card costs
Perform monthly reconciliation of funded schemes and agree balances to ERP General Ledger Out Patient fund account.
Generate Insured premium statement and facilitate collection of the same with the Sales team and intermediaries
Reconciliation and collection/recovery of medical claims paid outside policy.
Process medical premium refunds to clients.
Knowledge, experience and qualifications required
Bachelor’s degree in a business related field
CPA(K) or other similarly recognized accounting profession qualification
2-3 years of accounting experience in a similar role
Knowledge of ERP AP system and/or experience of using Oracle Financials would be an advantage
Strong computer and business solutions software skills
Strong analytical and problem solving skills
Analytical skills
Emerging Leaders in Britam need to:
Plan, direct and apply efficiencies and resources in order to optimise output and profitability against time, cost and team targets;
Effectively communicate strategic and operational departmental goals and objectives to peers and others in order to ensure proper implementation;
Ensure that department priorities are adhered to and effectively communicated;
Ensure competent and effective people resources through appropriate coaching, development and people supervision as appropriate;
Embody a high performance, proactive culture;
Effectively ensure the adherence to key performance areas, deadlines and goals in order to optimise operational effectiveness;
Effectively communicate resource needs, possible opportunities and achievements to management in order to aid them in their decision-making;
Effectively set and monitor priorities and objectives for more junior staff;
Understand and communicate objectives in relation to the larger organisational impact;
Effectively disseminate knowledge within the correct context, towards subordinates as well as management;
Appropriately model the company values while setting the pace and energy for delivering;
Effectively manage and communicate change within the department in order to increase staff and process effectiveness;
Provide access to accurate and consistent information and services across all channels;
Ensure a seamless experience for clients;
Improve service delivery for clients;
Engage in continuous brand building to become the trusted partners to clients.
Apply via :
britam.taleo.net
