Insurance Officers (2 Positions) at Kenyatta University Teaching, Referral & Research Hospital

REF -  V/FT/100/2022

Position Summary

Reporting to the Credit Control & Insurance Manager, the insurance officer job is Responsible for all collection functions necessary to ensure the prompt and correct payment to the Hospital of all monies owed by patients and insurance providers at KUTRRH.

MAIN DUTIES AND RESPONSIBILITIES OF THE JOB

• Processing and documentation (claims and payment processing and medical coding) of health insurance claims.
• Responsible for updating internal databases, which electronically store and organize patients' records, billing details as per the registration forms.
• Liaise with Insurance underwriters on claims adjustment at the point of admission and discharge.
• Ensuring patients ac are billed within KUTRRH defined protocols and standards laid out.
• Insurance claims reporting, reconciliation and analysis of trends with regard to medical claims.
• Ensuring medical records are accurate and that the database is secure.
• Participate in all audits, service evaluations and process reviews to enhance the delivery of billing service to customers/stakeholders.
• Participate in regular checking, review and reconciliation of billing to ensure validity of insurance management reporting.
• Resolve incoming queries on billing from patients, insurance companies, consultants or colleagues in a professional and efficient manner.
• First point of contact with Insurance underwriters on claims and settlement ensuring a defined service level agreement is in place.

QUALIFICATIONS KNOWLEDGE AND SKILLS

• Bachelor’s Degree in Commerce and related field from a recognized Institution.
• Minimum level of knowledge that would be regularly applied to the job.
• Operational knowledge of Insurance and credit processes and requirements.
• Have specific operational knowledge of assigned insurance billing contracts, agreements
• Professional Insurance certification
• At least three years working experience in Insurance, Finance or Credit Control.
• Previous experience working in an Insurance or hospital set up handling insurance claim.

Typical soft skills

• Communication skills
• Analytical thinking skills
• Problem solving skills
• Multi-tasking skills
• Organizational skills