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  • Posted: Sep 20, 2019
    Deadline: Not specified
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    Bliss Medical Centre is a leading provider of medical services in East Africa, providing accessible, affordable and quality healthcare services. We are the fastest growing chain of modern outpatient medical services with over 80+ Medical Centres. Our driving force is the desire to see people living healthy for maximum productivity; we bel...
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    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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