The 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 responsibilities
- Prepare billing statements for insurance companies, cash and corporate patients and other third parties
- Review the discharge sheets for accuracy and completion to prepare billing statements
- Analyze invoices and data, prepare reports and respond to inquiries concerning billing activities
- Ensure pre-authorizations are done for corporate and NHIF clients
- Verify NHIF status and approvals and ensure biometrics capture as per procedure
- Update patients’ bills daily in coordination with other billing points within the hospital and other external partners
- Ensure that all services offered are billed/invoiced
- Update the corporate and cash payers on their bills daily or on-demand
- Carry out daily routine ward rounds to collect billing information and update the clients and patients.
- Check insurance/corporate/ NHIF documents for authenticity and validity
- Establish payment arrangements with patients; monitor payments; following up with patients when payment lapses occur
- Discharge clients by processing their bills and issuing gate passes
- Prepare daily, weekly and monthly billing reports
- Post/process bills in the correct and relevant accounts in the system
- Prepare the physical corporate / NHIF invoices-claims and attach the relevant documents for dispatch within the agreed credit period
- Participate in stock take exercises
- Ensure safe custody of all documents/LOUs /Guarantee of Payments used in discharging Corporate clients
- Serve and protect the hospital’s image by adhering to professional standards, hospital policies and procedures
- Any other responsibility assigned to the jobholder by the supervisor from time to time
- Follow up with insurance companies, NHIF and other corporate players for timely payment of claims
- ETIMS: entering all corporate invoices in ETIMS, generating all receipts and filling them according to receipt number.
Qualifications
- Degree 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 function
- Must have experience in processing NHIF and insurance claims
Competencies
- Computer literacy,
- Accounting skills
- Attention to detail
- Customer relation skills
- Communication skills
- Negotiating skills
Method of Application
Interested candidates are invited to submit their cover letter and some detailed curriculum vitae ONLY: Including names and contacts of three references to hr@optimumhospital.com on or before 30th June 2024
The email subject line MUST include the job title being applied e.g., “CLAIMS”
Canvassing of any nature will lead to automatic disqualification.
