Claims And Billing Officer At Nairobi Adventist Hospital

Job PurposeThe 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 responsibilitiesPrepare billing statements for insurance companies, cash and corporate patients and other third partiesReview the discharge sheets for accuracy and completion to prepare billing statementsAnalyze invoices and data, prepare reports and respond to inquiries concerning billing activitiesEnsure pre-authorizations are done for corporate and NHIF clientsVerify NHIF status and approvals and ensure biometrics capture as per procedureUpdate patients' bills daily in coordination with other billing points within the hospital and other external partnersEnsure that all services offered are billed/invoicedUpdate the corporate and cash payers on their bills daily or on-demandCarry out daily routine ward rounds to collect billing information and update the clients and patientsCheck insurance/corporate/ NHIF documents for authenticity and validityEstablish payment arrangements with patients; monitor payments; following up with patients when payment lapses occurDischarge clients by processing their bills and issuing gate passesPrepare daily, weekly and monthly billing reportsPost/process bills in the correct and relevant accounts in the systemPrepare the physical corporate / NHIF invoices-claims and attach the relevant documents for dispatch within the agreed credit periodParticipate in stock take exercisesEnsure safe custody of all documents/LOUs /Guarantee of Payments used in discharging Corporate clientsServe and protect the hospital's image by adhering to professional standards, hospital policies and proceduresAny other responsibility assigned to the jobholder by the supervisor from time to timeFollow up with insurance companies, NHIF and other corporate players for timely payment of claimsETIMS: entering all corporate invoices in ETIMS, generating all receipts and filling them according to receipt numberQualificationsDegree 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 functionMust have experience in processing NHIF and insurance claimsCompetenciesComputer literacy,Accounting skillsAttention to detailCustomer relation skillsCommunication skillsNegotiating skills