Claims Officer at Guru Nanak Ramgarhia Sikh Hospital [Guru Nanak R.S Hospital]
Key Responsibilities:
- Ensure
all invoices and claims from Outpatient Clinic and Inpatient Billing
Clerks Office are received in Finance Claims Office as per the SOPS
- Ensure
all IDS (Internal Dispatch Summary Reports) are acknowledged via signing
and a copy sent/scanned and emailed to the billing clerk’s office on
weekly basis.
- Ensure
completeness and accuracy of claims and invoices (signing by the doctor
and client, presence of diagnosis, membership/policy number, claims are
within the limit) and presence of smart reports where applicable
- Ensure
all EDS (External Dispatch Summary Report) are acknowledged/stamped
received by respective Insurance/Client contact person and a copy sent
back and received by Finance Claims Office daily basis. This stamped
external dispatch report must be scanned and save in the claims cloud
folder and hard copy filed.
- Maintain
details of contact person at each insurance who is responsible for
receiving and confirming receipts of invoices and claims dispatched.
- Submitting
monthly reports on the status of designated insurance and internal
dispatch reports
- Ensure
adherence to the laid down SOPs in Claims management
- Ensuring
that all the insurance company requirements are met before claims are
submitted.
- Participate
in preparation or implementation of project of choice within the group
operations during the year-MED 360 Ensure claims functions and reports in
the system are working properly and continuously.
Qualifications & Experience:
- Degree
in Finance or Accounting or ACCA Part 2/CPA K Part/Sec 2 or above
- 2
years accounting experience preferably in hospital setup.
Key Competencies:
- Must
have strong work ethics
- Good
mathematical background
- Proficient
in Excel and Word and experience with automated. accounting systems
- Ability
to sort, check, count, and verify numbers Ability to multi-task,
prioritize and work efficiently
How to Apply
Interested candidates are invited to send their CV to careers@gnrsh.co.ke by 22
January 2026. Only shortlisted candidates will be contacted.
