Job Title: Claims And Billing Officer
Hiring Organization: Nairobi
Adventist Hospital
Location – Locality: Nairobi
Location – Region: Kenya
Industry: Healthcare
Job Type: Full
Time
Salary: KES
Competitive
Date Posted: 03/28/2024
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