QSSU-ABC-MCO-Medical Insurance Claims Officer

About This Job:

Q-Sourcing Limited trading as Q-Sourcing Servtec is a manpower management solutions firm operating in the East African Region in the countries of Uganda, Kenya, Tanzania, Rwanda, and South Sudan.

On behalf of our client, we are looking for a competent, skilled, and experienced Medical Insurance Claims Officer to work in Kampala Uganda.

Job Summary

The Medical Claims Officer will ensure the completeness and accuracy of all the Insurance Billings on a daily basis, follow up, and submissions of all insurance Claims and rejections.

KEY ROLES AND RESPONSIBILITIES

• Ensure all claims are vetted and audit claims received on a monthly basis.
• Oversee claims daily operations to ensure accuracy and completeness of each patient File.
• Ensure that all medical diagnostic related rejections are minimized to a zero percent and a monthly rejection report is submitted to the finance manager.
• Frequently give back to the affiliate doctors/specialist and all other stake holders on Insurance exclusions and limits.
• To be responsible for reconciling disputed claims with the respective doctors.
• To internally source for medical explanations from the respective personalities/officers to be able to explain any claims rejections and assist the credit controller in resubmitting them to the Insurance Companies for payment.
• To regularly Liaise with the Insurance Companies and be able to meet and explain any variances in the Claims.
• To perform any other duties that may arise in line with this role or the function it supports and as assigned from time to time.

:

• The ideal candidate should hold a Diploma in Clinical Medicine or bachelor’s in medicine being an added advantage.
• At least 3 years of experience as a Claims Officer
• Excellent communication skills
• Proficient computer skills
• Good working knowledge of healthcare Insurance
• Accurate and precise attention to detail
• Ability to work well with management and staff at all levels

All candidates who meet the criteria outlined as above are encouraged to apply under the job vacancy “ QSSU- ABC-MCO-Medical Insurance Claims Officer ”.

Note:

Deadline for applications is not later than 05:00 pm, Tuesday, 24^th October 2023.

Only shortlisted applicants will be contacted.

Q-SOURCING SERVTEC IS AN EQUAL OPPORTUNITY EMPLOYER. ANY SOLICITATION WILL LEAD TO DISQUALIFICATION.