Job Purpose:
To monitor the divisions’ data base i.e.:
entitlements, administration rules & regulations and exclusions have been
mapped correctly in the system and to make recommendation regarding corporate
administration.
Key responsibilities:
- Corporate Administrative guidelines: Opening /closing of
accounts as advised by relevant authority
- Coordinate renewal of corporate agreements and fulfillment of
terms of the agreement e.g. entitlement, discounts, co-pay, and any other
administration rules agreed upon by the client;
- Organize and hold meetings with corporate clients to discuss
the status of their respective accounts administration guidelines;
- Review of Corporate contract expiry, mapped entitlements,
exclusions and administration rules & regulations.
- Staffing and Training: Supervise and appraise staff in
the section; Schedule and approve staff leave; Participate in the
recruitment and selection of personnel for the section; Identify areas of
personal and professional growth in order to stimulate personal and
organizational growth.
- Monitoring of invoices returns and taking appropriate action
by 3rd of the following month; analyze the reasons for returns and map in
system to avoid future returns; Preparing Rejection analysis and monthly
reports on the same.
- Account reconciliations: Participate in preparation of
service audits to enable the department to achieve its quality objective;
analyzing account reconciliations on all medical issues; Interpreting
medical issues into financial Parameters during reconciliation;
participating in reconciliation discussions and reconciliation signoffs.
- Reporting: Prepare daily, weekly and monthly account
mapping reports; weekly rejection reports and monthly account analysis.
- Maintenance of timely and accurate departmental reports e.g.
accounts opened/closed, rejection rate
Qualifications and skills required:
- Degree/ Diploma in Nursing or equivalent Clinical field
- Kenya Certificate of Secondary Education (KCSE) with mean
grade C or its equivalent
- Proficient in MS Office Suite
- Formal training in customer care or equivalent demonstrated
experience
- A minimum 3 years’ experience in a busy Accounting / Credit /
Claims Management department.
- Excellent interpersonal and communication skills,
people-handling/customer service and supervisory skills.
- Ability to build relationships among team members as well as
work as a member of the team
- Ability to work long hours with minimal supervision, has
initiative and is proactive
- Professional grooming and self-presentation
- Ability to work under pressure and meet stringent deadlines
- Physically fit and able to sit for long hours.
- Accuracy & efficiency in handling demanding workload
- Knowledgeable and can perform routine/non routine assignments.
How To Apply
