Credit Control Officer

Job Purpose

• To collect all Hospital Credit from Insurance and Corporates by ensuring all invoices dispatched are paid within the stipulated credit period and any rejected claims are corrected for full payment.

Key Responsibilities

• Monitor credit periods of all accounts and ensure all invoices are paid within the period for enhanced cash flow.
• In liaison with the claims analysts, review invoices before dispatching to ensure minimum rejections.
• Communicate to Billing Manager the changes and updates on all accounts coverage in real time to ensure zero billing for non-covered services.
• Create close working relationships with insurance and corporate account administrators to ensure smooth processing of Hospital invoices.
• Identify the major reasons for claims rejections based on reports from insurances and corporates and submit reports to the relevant parties for correction.
• Assist the Credit Control Manager in the background checks on creditworthiness of potential corporate accounts and Insurance companies.
• Communication to accounts managers of any relevant changes e.g. addition of services.
• Submit weekly reports on status of all accounts and highlight any issues with recommendations.
• Alert insurance companies and corporates in advance of any likely delays of invoices beyond the stipulated dispatch period to ensure no rejections.
• Ensure excellent customer relations management to clients.
• Progressively improve the turnaround time.
• Participate in the department attaining local and international quality accreditation systems.
• Work on rejected claims on medical basis, give medical advices and re-claiming
• Respond to medical queries from insurances either via Mail or Phone.
• Counter check that hospital charges and breakdown are properly captured on invoices and within acceptable insurance terms.
• Communicating any new changes from insurances to the billing and registration team, explaining and giving advices where need be.
• Promptly and efficiently attend to customer queries and complaints.
• Any other duty that may assigned

Key Performance Indicators

• Weekly reports on status of all Accounts
• Monthly collections
• Claims rejections.
• Adherence to credit periods by accounts managed.
• Communication of accounts changes or updates.
• Turnaround time
• Customer satisfaction index

Qualifications and Experience

• Diploma in Credit Management and CPA qualification.
• Minimum 2 years' experience in a similar role within a busy hospital.
• Proficiency in computer applications.
• Valid Certificate of Good Conduct.
• Excellent written and verbal communication skills.
• Strong presentation skills
• Maintains effective communication and working relationships with the Credit Control Manager, Dispatch Trackers, Billing Team, Claims Team, and Insurance Providers.
• Strong debt collection and recovery skills.
• Ability to work effectively under pressure and meet deadlines.
• High levels of professionalism and integrity