Medical Case Intern

JOB PURPOSE

To provide financial and technical support in the management of all financially related medical assistance and insurance client service requests, data recording, cost compilation and report generation; perform a wide variety of processes requiring analysis and attention to detail related to AMREF Flying Doctors Medical Assistance Services.

JOB DESCRIPTION

• Support in following up invoices daily from service providers on all cases pending closure as well as for ongoing case files and upload them on the M-files portal for payment processing
• Seek clarification from service providers on incorrectly billed invoices and conduct cost containment where necessary. This will entail reviewing and validating all invoices and especially the high-value invoices to identify cause for unnecessary or non-standard charges.
• Compile list of services and costs incurred for services rendered and generate interim pro-forma cost estimates for billing and invoicing by the credit control team.
• Generate final cost estimates once a case is closed especially during time critical periods such as end of month in consultation with the Medical Assistance Team
• Support in receiving and resolving all queries around billing and patient refunds as requested by the assistance partners.
• Support the Payables team with reconciliation of service provider statements of accounts hospitals especially for top tier hospitals with the assistance of the Medical Assistance Team
• Answer telephone calls in the Control Room and responding to clients in a professional manner as per AFD standards.
• Participate in Assistance Services departmental meetings as required.
• Provide administrative support as required such as ordering of office supplies
• Attend to any work-related duties as assigned.

QUALIFICATIONS

Education and Experience:

• Bachelor’s degree in commerce (Accounting/Finance Option) or related business field with at least CPA Part 1 or its equivalent
• Good ICT knowledge especially the MS Office Suite
• Knowledge on use of an accounting system will be an added advantage
• Knowledge of data collection methods will be an added advantage
• Knowledge in Customer Relationship Management (CRM) system

Knowledge, Skills and Competencies:

• Strong verbal and written communication skills
• Excellent customer service and client’s management skills
• Ability to interpret, analyse and present data effectively
• Ability to work in a team but also be self-directed
• Good planning, organisational and time management skills
• Ability to prioritize tasks and meet deadlines.
• Have attention to detail and accuracy
• Flexible, adaptable and responsive to changing priorities

WORK ENVIRONMENT

AMREF Flying Doctors works within a twenty-four-hour work environment due to nature of its operation