PURPOSE:
Responsible for receiving and processing claims for provider payment.
PRIMARY RESPONSIBILITIES:
- Ensure that all claims received are well stamped and keyed in for future reference.
- Dispatch received invoices, mails and claim books to respective sections
- Dispatch claim forms and other relevant documents to providers
- Confirm that smart claims have been billed correctly
- Prepare valid claims for scanning.
- Upload, attach and index relevant documents to Document Management System
- Facilitate discarding of scanned claim documents as per the approved disposal procedure.
- Registration of medical claims in the system
- Follow up on registration and reconciliation of provider statements to ensure closure.
- Follow through to ensure all claims with issues at registration level have been addressed or escalated to the supervisor for action
- Respond to walk in customer enquiries
- Attend to customer and service providers’ queries and complaints promptly and professionally
Education
- Bachelor’s degree in Commerce or in any related field
- Computer literate in MS Office and other office applications
