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Closing: Aug 12, 2022

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Published: Aug 5, 2022 (5 days ago)

Job Requirements

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Job Summary

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Minimum Qualifications and Experience

  • Bachelor’s Degree in Commerce and related field from a recognized Institution.
  • Minimum level of knowledge that would be regularly applied to the job.
  • Operational knowledge of Insurance and credit processes and requirements.
  • Have specific operational knowledge of assigned insurance billing contracts, agreements
  • Professional Insurance certification
  • At least three years working experience in Insurance, Finance or Credit Control.
  • Previous experience working in an Insurance or hospital set up handling insurance claim.


Responsibilities

Minimum Qualifications and Experience

  • Bachelor’s Degree in Commerce and related field from a recognized Institution.
  • Minimum level of knowledge that would be regularly applied to the job.
  • Operational knowledge of Insurance and credit processes and requirements.
  • Have specific operational knowledge of assigned insurance billing contracts, agreements
  • Professional Insurance certification
  • At least three years working experience in Insurance, Finance or Credit Control.
  • Previous experience working in an Insurance or hospital set up handling insurance claim.


  • Processing and documentation (claims and payment processing and medical coding) of health insurance claims.
  • Responsible for updating internal databases, which electronically store and organize patients' records, billing details as per the registration forms.
  • Liaise with Insurance underwriters on claims adjustment at the point of admission and discharge.
  • Ensuring patients ac are billed within KUTRRH defined protocols and standards laid out.
  • Insurance claims reporting, reconciliation and analysis of trends with regard to medical claims.
  • Ensuring medical records are accurate and that the database is secure.
  • Participate in all audits, service evaluations and process reviews to enhance the delivery of billing service to customers/stakeholders.
  • Participate in regular checking, review and reconciliation of billing to ensure validity of insurance management reporting.
  • Resolve incoming queries on billing from patients, insurance companies, consultants or colleagues in a professional and efficient manner.
  • First point of contact with Insurance underwriters on claims and settlement ensuring a defined service level agreement is in place.


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