Claims Receiving Officer Job in Kenya

Claims Receiving Officer

Purpose: 

Responsible for receiving and processing claims for provider payment.

Key Responsibilities

Ensure that all claims received are well stamped and keyed in for future reference.

Dispatch received invoices, emails, 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 the Document Management System

Facilitate the 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 the 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/Diploma    

Bachelor’s degree in a business-related field or a Diploma in Health Records 

Computer literate in MS Office and other office applications 

Experience Required:

Relevant experience    1

How To Apply

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