Job Opportunity at Dodoma Christian Medical Center (DCMC), Claims Officer

Claims Officer

Job Description:

JOB SUMMARY:

The incumbent will be responsible for working with insurance claims. S/he will be responsible for a variety of tasks, including: administrating claims; coordinating with various departments to settle claims; managing and maintaining records; developing reports for statistical claims; monitoring claim trends; coordinating with insurance companies to resolve customer issues; serving as a liaison between the hospital and insurance companies; serving as an insurance expert; and making recommendations for new insurance policies. Claims administrators are also responsible for filing and maintaining accurate paperwork

KEY RESPONSIBILITIES:

Coordinate insurance process across departments, doctors, medical staff, tracking claims and reporting on aggregate metrics.
Enable quick, accurate claim submissions.to achieve sustainable, recurring cash flow improvement by
Ensure Accuracy of forms to reduce rejections and rebilling, resulting in improved first-time acceptance rate
Support and mentor staff in insurance resources, standards, data, and contacts.
Review claim submissions and determine eligibility and level of coverage.
Prepare and monitor insurance budgets and report on exceptional circumstances.
File claims, enter data, and update databases with current daily information.
Handle general administrative duties such as creation of claim records, managing claim documents, scheduling and distribution of cases
Prepare source data for computer entry by compiling and sorting information; establishing entry priorities.
Process patient and account source documents by reviewing data for deficiencies; resolving discrepancies by using standard procedures or returning incomplete documents for resolution.
Verify entered patient and account data by reviewing, correcting, deleting, or reentering data; combining data from both systems when account information is incomplete; purging files to eliminate duplication of data.
Maintain operations by following policies and procedures; reporting needed changes.
Maintain patient confidence and protect operations by keeping information confidential.
Contribute to team effort by accomplishing related results as needed.
Perform any other related duties and responsibilities as may be assigned
Preferred Skills:

REQUIRED SKILLS AND QUALIFICATIONS

Holder of Ordinary Diploma in a related field or its equivalent.
One year relevant work experience in data entry, high attention to detail, and focus on quality
Knowledge of medical terminology and medications
Ability to multi-task and work in a fast-paced, deadline driven environment.
Ability to decipher various forms of handwriting
Organization, Typing, Data Entry Skills, Attention to Detail, Confidentiality, Thoroughness, Decision Making, Independence, Analyzing Information , Results Driven, Energy Level

All Applications through Post should be addressed to

Director Dodoma Christian Medical Centre Trust
P.O. Box 658
Dodoma

or E-mail: jobs@dcmct.or.tz

Closing date Friday, Monday, 17th June 2019.