Claims Officer
FONDATION RESEAU AGA KHAN POUR LE DEVELOPPEMENT
Accounting, Auditing & Finance
- Minimum Qualification :
Job Description/Requirements
The Aga Khan Hospital, Kisumu is an institution of the Aga Khan Health Service, Kenya, which is an Agency of the Aga Khan Development Network. The Hospital is part of a network of health facilities, which includes Hospitals and Outreach Health Facilities across East Africa. The Aga Khan Hospital, Kisumu is in an exciting growth phase and has attained acknowledgment of its quality by achieving ISO 9001:2015 certification, ISO 15189:2012 accreditation for laboratory services, Safe Care level 5 accreditation and is at advanced stage of attaining Joint Commission International Accreditation. The Aga Khan Hospital, Kisumu has Outreach Health Services at Kisii, Kakamega, Kitale, Bungoma, Kericho, Kibuye-Kisumu, West End- Kisumu, Busia, Homa - Bay, Migori, Bomet, Eldoret, Kimilili and Nyamira. The Hospital is seeking to attract interested and qualified candidates to fill the following position in the Finance Department.
CLAIMS OFFICER
OVERALL RESPONSIBILITY
The successful candidate will be expected to ensure that all corporate client’s claim forms in regard to diagnosis are verified to ensure that the tests and drugs given are in line with the diagnosis for the full settlement of the claims. Will be the link between the Hospital and Corporate clients for any clinical rejections for discussions within the stipulated period and make recommendation regarding uncollectable amounts on the reconciling items. In addition, review all the invoices before dispatch.
KEY RESPONSIBILITIES
The requirements
REQUIREMENTS
Diploma or Degree in Nursing or equivalent. Proficient in MS Office Suite Formal training in customer care or equivalent demonstrated experience A minimum of 3 years’ experience in a busy Hospital or InsuranceSector
Social Development
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