Job Description

CLAIMS CLERK

COMPANY NAME: SUNNINGDALE 2 MEDICAL CENTRE
POSITION: CLAIMS CLERK (FULL TIME )
DEADLINE: 31 December 2023

Job Description
Our thriving organization in the Healthcare Service Industry is seeking to recruit a highly qualified individual to join our team based in Harare. Applicants are invited from suitably Qualified and Experienced candidates for the above-mentioned position.

Duties and Responsibilities

KEY RESPONSIBILITIES

• Collects all completed claim forms from various departments
• Ensures that all completed claims are attended to on time and without delay
• Billing of claims
• Reviewing of claim forms for accuracy and completion and correct missing information as necessary
• Timely submitting the claim forms to respective Medical Aids
• Reconciliation of remittances from different Medical Aids against claims submitted
• Following up with the Medical Aids on outstanding claims
• Following upon shortfalls or rejected claims from patients
• Produce weekly and monthly reports on statistics of claims for each department

Qualifications and Experience

KEY COMPETENCIES
• At least(2) years proven working experience as a Claims Officer/Clerk
• Thorough knowledge of legal regulations on billing and codes
• Must have excellent technology and mathematical skills
• Excellent organizational and problem-solving skills

QUALIFICATIONS
• A diploma or degree in any related field.