Front Desk Officer At RFH Healthcare

Reports To :
Functionally: Claims Manager
Administratively : Healthcare Manager

Overview

The job holder will be responsible for customer service and administrative support at the front desk.

Skills And Education

• Must have a diploma in Business Studies/ Health Records or related field
• Proven experience as front desk representative, agent or relevant position preferably in a hospital set up.
• Familiarity with slide, mtiba, defmis, LCT, makl, britam micro and office machines e.g. fax, printer.
• Knowledge of office management and basic bookkeeping
• Excellent knowledge of MS Office (especially Excel and Word)
• Strong communication and people skills
• Good organizational and multi-tasking abilities
• Problem-solving skills
• Customer service orientation

Key Roles And Responsibilties:

• Receiving and greeting clients/patients and setting a positive Hospital atmosphere.
• Collect Information from patient and verify the mode of payment.
• Register patients in the HMIS system/Insurance portals using the I.D /Insurance card and fill all fields as required.
• Confirm the eligibility to render services on credit arrangement basis using the systems and mode of identification as required by the Insurance.
• If the patient is cash paying, ensure the correct services and amounts are billed before generating a receipt.
• Communicate and Schedule patients’ appointments.
• Ensure relevant claim forms have been filled and photocopying of required documents including ID copies andInsurance cards.
• Send pre-authorizations according to the terms of the insurance and follow-up for approval.
• Ensuring that the required services (Consultation, Lab tests, diagnostic and investigative tests) have been raised in the system pending finalization of the bill.
• Finalizing of invoices after services have been rendered to the patients and ensuring that the claim forms have been filled by both the doctor and the patient
• If it’s a smart card, ensure that the right information have been captured on the smart system (EDI).
• Generate and print the smart reports and attach to the invoices where necessary
• If on SLADE/MTIBA/DEFMIS/NHIF/LIASON or other E-claim platform ensure the invoices have been submitted accordingly and closed before the patient leaves the facility.
• At the close of business ensure all the invoice have been closed and finalized in the HMIS.
• Scan and save invoices in the shared drive.
• Submit the invoices to the claims department on daily basis after counter checking and rectificationif necessary
• Daily reconciliation with the accounts department on co-payments and cash collections.
• Perform customer service and other administrative duties at front desk