KEY RESPONSIBILITIES
Welcome and Assisting patients with registration on Hmis - (Using Legal documents i.e. (ID, passport, birth certificate). completing necessary forms and documentation, verify that all information acquired is accurate and Current.
Respond to customer enquiries promptly and professionally, manage patient queues and provide timely information to enhance service flow.
Answer telephone calls promptly while applying proper telephone etiquette.
Issue claim forms and preauthorization documents to patients to fill in personal details (Confirm that Claim forms are accurately Filled) and advise patients to hand over Claim forms to the clinical team-(Doctors) When being attended to.
Confirms and Collect Cash/Mpesa/Credit card payments, issue receipts, and safeguard all receipted money until handed to the chief cashier- and issued with a Part cash collection slip) /Or Banked in the Cash safe Provided while documenting all the banking in Cash register provided as per admission and cash and Banking Policy.
Validate Credit patients, Bill all credit patients in HMIS, Generate Invoices and give patients to sign, give a copy of the invoice to the patient and safeguard all Invoices and Bank at the end of the shift by Generating the transaction listing, counterchecking that all invoices are available, noting the count of invoices on the transaction listing, wrapping daily invoices in the transaction listing and banking in the provided safe while document in the invoices collection register available on top of the safe.
Verify SHA patients, generate claim numbers, and use Correct Claim numbers to bill and add the invoices number and amount onto the SHA Portal prior to releasing the patient.
Train staff in utilization and usage of third-party applications- Advice on need to Liaise With stakeholders to ensure Compliance with Intermediary applications requirements.
Through Daily Validation Ensure all invoice Comply to the company instructions and approvals are sought and attached to the invoices.
Track Entitlements mapping errors and report for Corrective action to be undertaken
Share a daily report On Invoices that have not been captured on third party applications and assess and advice on mitigation measures through liaising with service providers.
Support sorting of Returned claims that require clarification and supporting documents.
Train Doctors on need for timely handover of Claim forms and follow up on Those that are pending.
The requirements
REQUIREMENTS
Bachelor of Commerce (Accounting/Finance Option), CPA II or equivalent
Proficiency in Ms Excel
Experience in Front office management
Good customer service skills
A minimum of 3 years' experience in a similar role, preferably in a hospital setup.