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    Claims and Billing Officer at - Nairobi, Kenya - Nairobi Adventist Hospital

    Nairobi Adventist Hospital
    Nairobi Adventist Hospital Nairobi, Kenya

    1 week ago

    Default job background
    Full time
    Description
    Nairobi Adventist Hospital (NAH) is a Seventh-day Adventist (SDA) church-established and owned Hospital. It is a tertiary (level 4) hospital located in Nyari west area in Westlands sub-county, Nairobi County, Kenya.

    Job Purpose

    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

    Requirements
    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
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