Benefit Specialist at ADEC Kenya Services EPZ Limited (ADEC Kenya)

ROLE SUMMARY

Join our dynamic team as a Benefits Specialist, where you will play a crucial role in verifying and investigating benefits with multiple insurance companies to ensure comprehensive coverage for patients. Your responsibilities will include managing patient and insurance data, initiating authorization inquiries, and providing timely follow-up on assigned tasks. This position offers a dynamic opportunity to contribute to our fast-paced, high-growth environment, where your organizational skills and attention to detail will be instrumental in optimizing our billing operations.

KEY RESPONSIBILITIES:

• Conduct verification and benefit investigations with insurance companies, ensuring adherence to criteria and complete documentation.
• Provide accurate and timely follow-up on assigned tasks, ensuring effective task management and completion.
• Collaborate closely within a team to maintain a professional and efficient work environment.
• Initiate genetic authorization inquiries to resolve reimbursement and coverage issues.
• Manage, record, verify, and update patient and insurance data from various sources.
• Perform other tasks involving data entry as necessary.

 QUALIFICATIONS & REQUIREMENTS

• At least 6 months of BPO experience (with knowledge of insurance policies, procedures, and healthcare billing processes).
• Outstanding phone communication skills (Inbound & Outbound) experience from Call Center role.
• Effective communicator with the ability to present information in a clear, concise manner
• Understanding of medical terminology and medical insurance
• 1 year of medical eligibility and benefits screening and authorization experience preferred
• Good in the English language both in speaking and in writing.
• Flexible to accommodate different shift jobs including night shifts and must be staying within or ready to relocate to Kitengela, Athi River, or Mlolongo.