Entitlement Officer -Finance, Debtors Department at Aga Khan University Hospital

Position Summary

Reporting to the Manager, Debtors department, the Entitlement Finance Officer will assist the Corporate Entitlement supervisor in dictionary mapping i.e.: entitlements, administration rules & regulations and exclusions have been mapped correctly in the system and to make recommendation regarding corporate administration.

Key Responsibilities

• Evaluate gaps raised by Revenue cycle, billing staff and document the relevant Meditech Jiras. Coordinate with Meditech for solution.
• To guide finance in dictionary building in Meditech e.g. entitlement, discounts, co-pay, and any other administration rules agreed upon by the client.
• Testing all Revenue cycle developments and solution
• Monitoring of the Daily System Management Desktop
• Participate in responding to enquiries that may be raised by Meditech on Revenue cycle matters.
• Coordinate with Meditech and ICT in developing selection files and reports customization for the Revenue cycle.
• Daily monitoring of system assigned dictionaries and resolving of denials codes & Invalid accounts.
• Mapping of staff and ensuring all staff costs are correctly allocated by division.
• Daily monitoring of diagnosis compliance and the reasons for any gaps to facilitate corrective actions with parties involved.
• Attending to corporate reconciliations emanating from systems mapping gaps and ensure corrective measures are taken.
• Daily monitoring of electronic claim management and ensure the system is executing as expected.
• Participating in creating and updating the Revenue cycle training materials for all billing areas on and off campus
• Identify areas of personal and professional growth to stimulate personal and organizational growth. In addition to participate in identifying other staff to be developed in matters pertaining to Meditech Revenue cycle structure for capacity building.
• Liaise with Budget & planning and People Soft teams to ensure correct mapping of non-charge codes and account receivables codes are in place for accurate financial reporting.
• To offer prompt and satisfactory services to internal and external clients on physical and calls enquiries pertaining to accounts mapping and billing.
• Participate in opening/closing of accounts as advised by different corporates clients in line with signed credit facility contracts.
• Participate in preparation of service audits to enable the department to achieve its quality objective.
• Perform any other duties as may be requested by the department leadership.

Qualifications and skills required:

• Bachelor of Commerce/CPA K or equivalent qualification
• KCSE Mean grade C
• A minimum 3 years’ experience in a busy Accounting/Credit Management department.
• Exposure in systems implementation and Proficient in MS Office Suite
• Excellent communication skills both written and oral.
• Excellent customer service skills.
• Good people skills: Ability to build relationships among team members.
• 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.