Metropolitan Hospital was founded in the year 1995 by a group of professional entrepreneurs to fulfill the need for a proper medical care to the community in a warm welcoming environment.
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To dispatch all the invoices daily except NHIF. Handing over of delivery notes to Credit control for follow up.
To archive the letters of undertaking in the system and maintain safety of all letters of undertaking approved by payers.
To identify and propose system/process improvements to ensure efficient service delivery.
Identify gaps in the dispatch policies and propose revision to capture the current market dynamisms
To ensure proper storage and safety of claims assets. (Dispatched and un-dispatched.
Regularly advise all the service points on the limits and ensuring pre-approvals are sort accordingly.
Receiving invoices/claims from the reception.
Attaching and following up plaza invoices thins includes Lou’s
Confirming all invoices from the previous day has been received using handover list.
Arranging of claim forms per payer /scheme as received from Outpatient Reception.
Confirming all claim forms and invoices are filled and signed by both the doctor and the patient, also to confirm that the corporate patients have been activated in the right payer and scheme; ensuring that bills that need letter of authorization are attached to.
Using the Nairobi water, statement, and the signed invoices to tick and check if all have been received as signed.
Vetting ALL invoices ensuring adherence to insurance rules.
Ensuring that all invoices she is dispatching adhere with the scheme rules
Raising the claims that have not been received from Outpatient or wrong claim-forms that were filled.