Medical Accounting Associate
Job Purpose: The role holder will be responsible for Medical Accounting
including; Fund management, premium collections, provider reconciliations and
ensuring that provider payment are made on time
Responsibilities
Payments and Reconciliation
- Prepare
monthly hospital payout targets for major providers and send the list to
the Medical Claims Team
- Generate
and send remittance advice for payments made to the respective medical
providers including the invoice details.
- Review
payouts on a regular basis with an aim of ensuring that monthly payout
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 is maintained within the agreed SLAs.
- Monitor
medical provider guarantees to ensure timely renewal of expired guarantees
and cancellations for discontinued providers.
Fund & Insured Schemes Management
- Monitor
utilization of funded schemes and follow up on replenishment at 75%
utilization
- Generate
and issue monthly fund utilization 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 to 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 the policy.
- Process
medical premium refunds to client
Qualifications
- 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
How to Apply