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Claims And Billing Officer

Closing: Apr 30, 2024

10 days remaining

Published: Mar 28, 2024 (23 days ago)

Job Requirements

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Job Summary

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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


Responsibilities

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


  • 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


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