Job Purpose
The
role-holder is responsible for accurately registering and generating billing
statements for clients while upholding professional standards and office
etiquette in line with hospital policies and prevailing regulations.
Job Competencies (Skills Job Knowledge, Experience
and Attributes).
Academic
qualifications
- Diploma in Accounting, Finance, Business
Administration or related field from a recognized institution.
Professional Qualifications (Special training or
Professional certification).
- Certified Public Accountant (CPA) – Part
2/Intermediate Level
- Certified Health Information Management Systems
(CHIMS)
Professional Membership/Licensing requirements
- Institute of Certified Public Accountants of
Kenya (ICPAK)
Previous relevant work experience required (including a specific length or type of experience in a certain job or level.)
- Have a minimum of 1-2 years of clerical or
accounting experience or similar position in the health sector.
Functional Skills, Behavioural
Competencies/Attributes:
- Demonstrable knowledge of medical billing
software and medical documentation evaluation.
- Multi-tasking and time-management skills in a
fast-paced environment
- Ability to learn and implement new operating
procedures, understanding abstract ideas, problem-solving and improvising
applicable solutions.
- Good understanding of escalation triggers at the
work situations
- Ability to work under minimal supervision, be
self-driven
- Have a track record of integrity and meeting
ambitious targets.
- Intermediate proficiency in MS Office tools
i.e., Excel, Word, PowerPoint
Key Responsibilities/ Duties / Tasks
- Accurately capture prerequisite demographic
information into the HMIS for all patients coming for treatment.
- Properly process and progress preauthorization’s
for medical bills for clients with insurance covers.
- Perform clerical duties related to registration
and billing according to standing orders.
- Review discharged patients’ cost sheets for
accuracy and completion to prepare billing statements.
- Prepare billing statements for insurance
companies, patients, and other third parties.
- Process refunds for overpaid accounts.
- Prepare reports and respond to inquiries
concerning billing activities.
- Analyse invoices and data for accuracy and
completeness.
- Serve and protect the hospital’s image by
adhering to professional standards, hospital policies, and procedures.
- Verify that the disease code in the discharge
summary matches the treatment provided before invoicing.
- Complete daily admission and claim forms and
attach the correct requirements during discharge.
- Communicate appropriately and provide
information to patients regarding hospital processes.
- Maintain proper handling procedures for claim
documents.
- Perform any other duties as assigned by the head
of department or management.
- Uphold office etiquette.
- Ensure that patient cards are fully paid and
that premiums exceed at least three months from discharge to avoid
rejected claims.
- Batch claims according to the medication
accorded.Submit all batched claims to the NHIF branch for processing and
payment. Perform any other duty that may be assigned from time to time.
Functional Skills, Behavioural
Competencies/Attributes:
- Excellent communication and interpersonal
skills, with the ability to build relationships and influence others, and
to be a joy to work with
- Self-motivated, having a strong work ethic and
able to work under minimal supervision.
- Passion for God and for the wellbeing of mankind
while driving positive social impact and transformational change in the
community.
- An individual who exemplifies integrity and
honesty
How to Apply
