About the job

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.

Qualifications and Requirements required:

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

Willingness to work a flexible schedule and fill in when required

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

How to apply:

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

Follow the link below to apply;

Note:

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

Only shortlisted applicants will be contacted.