Thursday, 13 June 2019

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.