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  • Job Openings at Bliss Healthcare Ltd

  • Posted on: 20 September, 2019 Deadline: Not Specified
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  • Bliss Healthcare Ltd is a leading provider of medical services in East Africa that provides accessible, affordable and quality outpatient healthcare services. Currently, we are providing care to over 70,000 patients every month through more than 75 state of the art clinics spread out in Kenya. 

    Medical Claim Analyst

     

    Reporting Supervisor:   MEDICAL TEAM LEADER

    KEY RESPONSIBILITIES AND DELIVERABLES

    Core Responsibilities

    • Clinical officer has to be well equipped with the latest trends and technologies used.
    • Expert in analyzing actual and fake treatments claims.
    • Expert in drafting the process in and out.
    • Smart in tackling various types of clients.
    • Clinical officer has to be the one and only stop for whole process execution for clients.
    • Clinical officer is incumbent for the billing, filing, updating and processing of medical claims related to patient diagnoses, treatments and medications.
    • Process Company’s response to claims.
    • Regular liaison with insurers, loss adjusters/appointed experts.
    • Utilizing new Claims repository.
    • Perform data entry and processing.
    • Formulate objectives and processes.
    • Monitoring inventory records.
    • Supervising the educational material provided to patients by clinical officer.
    • Evaluating the Preparation and delivery of claims presentations by clinical officer.
    • Provide cover for colleagues in their absence, ensuring that the handling of their claims is kept up to date.
    • Liaising with other healthcare personnel for efficient delivery of patient care.
    • Treating or referring them to respective specialists.
    • Responding to mails, calls, and medical related queries on social media platform.
    • Any other duties as may be assigned.

    JOB REQUIREMENTS   -        100%

    Minimum Qualifications 

    • Diploma in community oral health/optometrist/nursing/clinical medicine and surgery/community health.
    • Registered and licensed by the relevant medical body. 

    Experience

    • Minimum of 2 years of experience in relevant medical field 

    Technical/Behavioural Skills

    • Computer literacy
    • Decision making
    • Ability to learn
    • Morally upright
    • Clear communication
    • Empathy
    • Attentive listening
    • Positive attitude
    • Willingness to go the extra mile
    • Knowledge about products and services

    Language Skills

    • English (Preferred)
    • Swahili

    go to method of application »

    Medical Superintendent - Eldoret, Kakamega

     

     

    Job Description

    QUALIFICATIONS

    • Bachelor’s degree in medicine and surgery degree from an institution recognized by MP&DB
    • Successfully undertook a one-year internship
    • Be registered by MB&DB
    • Valid practicing license and letter of good standing from the Board and
    • Be computer literate.
    • Required relevant work experience:  3 plus years
    • Required skills: Patient care; Surgery; Mentoring and coaching;

    RESPONSIBILITIES

    • Maintains standard of medical care and provide leadership to ensure an appropriately skilled medical workforce.
    • Implementing and monitoring procedures, policies and performances standard for medical, nursing, technical and administrative staff.
    • Controlling administrative operation such as budget, planning, report preparation and expenditure on supplies equipment and services.
    • Directing, supervising and evaluating the work activities of medical, nursing, Lab tech, pharm tech, and other Medical personnel.
    • Plan, organize, direct, control and coordinate medical programs and clinical services in the assigned clinics.
    • Must possess leadership skills, as well as the ability to communicate effectively with clinics employees, patient, attendant, etc.
    • Offer Moral support and promote the mission of the Organization.

    Method of Application

    Please submit your updated CV with a cover letter via email to recruitment@blisshealthcare.co.ke Only shortlisted candidates will be contacted.

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