Job Purpose:
To monitor the divisions’ data base i.e.: entitlements, administration rules & regulations and exclusions have been mapped correctly in the system and to make recommendation regarding corporate administration.
Key responsibilities:
Corporate Administrative guidelines: Opening /closing of accounts as advised by relevant authority
Coordinate renewal of corporate agreements and fulfillment of terms of the agreement e.g. entitlement, discounts, co-pay, and any other administration rules agreed upon by the client;
Organize and hold meetings with corporate clients to discuss the status of their respective accounts administration guidelines;
Review of Corporate contract expiry, mapped entitlements, exclusions and administration rules & regulations.
Staffing and Training: Supervise and appraise staff in the section; Schedule and approve staff leave; Participate in the recruitment and selection of personnel for the section; Identify areas of personal and professional growth in order to stimulate personal and organizational growth.
Monitoring of invoices returns and taking appropriate action by 3rd of the following month; analyze the reasons for returns and map in system to avoid future returns; Preparing Rejection analysis and monthly reports on the same.
Account reconciliations: Participate in preparation of service audits to enable the department to achieve its quality objective; analyzing account reconciliations on all medical issues; Interpreting medical issues into financial Parameters during reconciliation; participating in reconciliation discussions and reconciliation signoffs.
Reporting: Prepare daily, weekly and monthly account mapping reports; weekly rejection reports and monthly account analysis.
Maintenance of timely and accurate departmental reports e.g. accounts opened/closed, rejection rate
Qualifications and skills required:
Degree/ Diploma in Nursing or equivalent Clinical field
Kenya Certificate of Secondary Education (KCSE) with mean grade C or its equivalent
Proficient in MS Office Suite
Formal training in customer care or equivalent demonstrated experience
A minimum 3 years’ experience in a busy Accounting / Credit / Claims Management department.
Excellent interpersonal and communication skills, people-handling/customer service and supervisory skills.
Ability to build relationships among team members as well as work as a member of the team
Ability to work long hours with minimal supervision, has initiative and is proactive
Professional grooming and self-presentation
Ability to work under pressure and meet stringent deadlines
Physically fit and able to sit for long hours.
Accuracy & efficiency in handling demanding workload
Knowledgeable and can perform routine/non routine assignments.
Apply via :
aku.taleo.net
