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  • Posted: Oct 5, 2021
    Deadline: Not specified
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  • Britam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the Eastern and Southern Africa region, with operations in Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique and Malawi. The group offers a wide range of financial products and services in Insurance, Asset management, Ban...
    Read more about this company

     

    Medical Accounting Associate

    Job Purpose:

    The role holder will be responsible for Medical Accounting including; Fund management, premium collections, provider reconciliations and ensuring that provider payment are made on time

    Key responsibilities

    Payments and Reconciliation

    • Prepare monthly hospital payout targets for major providers and send the list to the Medical Claims Team
    •  Generate and send remittance advice for payments made to the respective medical providers including the invoice details. 
    •  Review payouts on a regular basis with an aim of ensuring that monthly payout targets for major providers are met.
    • Perform reconciliations with provider statements and ensure resolution of outstanding balances on a timely basis.
    • Reconcile Britam Credit account facilities with the various providers and ensure the same is maintained within the agreed SLAs.
    • Monitor medical provider guarantees to ensure timely renewal of expired guarantees and cancellations for discontinued providers.
    • Fund & Insured Schemes Management
    • Monitor utilization of funded schemes and follow up on replenishment at 75% utilization
    • Generate and issue monthly fund utilization statements and Insured schemes on request
    • Advise cashier on the receipting and allocation for all medical collections including; Insured premiums, Funded schemes, and card costs
    • Perform monthly reconciliation of funded schemes and agree to balances to ERP General Ledger Out Patient fund account. 
    • Generate Insured premium statement and facilitate collection of the same with the Sales team and intermediaries
    • Reconciliation and collection/recovery of medical claims paid outside the policy. 
    • Process medical premium refunds to clients

    Knowledge, experience, and qualifications required

    • Bachelor's degree in a business-related field
    • CPA(K) or other similarly recognized accounting profession qualification
    • 2-3 years of accounting experience in a similar role
    • Knowledge of ERP AP system and/or experience of using Oracle Financials would be an advantage
    • Strong  computer and business solutions software skills
    • Strong analytical and problem-solving skills
    • Analytical skills

    go to method of application »

    Product Development Specialist - Corporate Segment

    Job Purpose:

    The role holder will be responsible for Medical Accounting including; Fund management, premium collections, provider reconciliations and ensuring that provider payment are made on time

    Key responsibilities

    Payments and Reconciliation

    • Prepare monthly hospital payout targets for major providers and send the list to the Medical Claims Team
    •  Generate and send remittance advice for payments made to the respective medical providers including the invoice details. 
    •  Review payouts on a regular basis with an aim of ensuring that monthly payout targets for major providers are met.
    • Perform reconciliations with provider statements and ensure resolution of outstanding balances on a timely basis.
    • Reconcile Britam Credit account facilities with the various providers and ensure the same is maintained within the agreed SLAs.
    • Monitor medical provider guarantees to ensure timely renewal of expired guarantees and cancellations for discontinued providers.

    Fund & Insured Schemes Management

    • Monitor utilization of funded schemes and follow up on replenishment at 75% utilization
    • Generate and issue monthly fund utilization statements and Insured schemes on request
    • Advise cashier on the receipting and allocation for all medical collections including; Insured premiums, Funded schemes, and card costs
    • Perform monthly reconciliation of funded schemes and agree to balances to ERP General Ledger Out Patient fund account. 
    • Generate Insured premium statement and facilitate collection of the same with the Sales team and intermediaries
    • Reconciliation and collection/recovery of medical claims paid outside the policy. 
    • Process medical premium refunds to clients

    Knowledge, experience, and qualifications required

    • Bachelor's degree in a business-related field
    • CPA(K) or other similarly recognized accounting profession qualification
    • 2-3 years of accounting experience in a similar role
    • Knowledge of ERP AP system and/or experience of using Oracle Financials would be an advantage
    • Strong  computer and business solutions software skills
    • Strong analytical and problem-solving skills
    • Analytical skills

    Method of Application

    Use the link(s) below to apply on company website.

     

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