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.
  

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.