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3 Apr 2017

Medical Billing Assessor 2017 Jubilee Insurance Job in Kenya

We currently have an exciting career opportunity for Medical Billing Assessor. The post holders will report to Deputy Manager, Provider Partnerships and will be based in the Head Office.

Role Purpose
Pricelist Management – responsible for building master charge lists for providers and validation of
specific charge category entries.

Responsibilities

  • Registration of billing information from provider charge lists into a pricing tool
  • Validating procedure, treatment, diagnosis and pharmaceutical terminologies
  • Keeping track of price adjustments from particular providers
  • Auditing of billing irregularities and advising providers on remedial actions
  • Highlighting outliers and other areas of concern in provider charge categories
  • Liaising with Provider Partnership team on pre-negotiated provider charges
  • Participate in Provider Grouping based on differential price levels
  • Participate in generation of exceptional reports for management reporting
  • Performs other related duties as assigned, which may be inclusive, but not listed in the job description.

Key Deliverables.

  • Successful construction of a universal pricing master file
  • Identification of key areas for cost-containment intervention

Qualifications

  • Diploma in Nursing, Clinical Medicine, Laboratory Medicine and Pharmacy
  • Good understanding of the concepts of medical insurance
  • Proficient in the use of Microsoft office suite and packages.

Functional Skills

  • Excellent data analytical skills
  • Performance reporting and management
  • Health Benefits Plan Management
  • Familiarity with medical coding e.g. ICD 10, DSM-5, SNOMED, RxNORM, HCPCS, CPT, DRG etc.
  • At least two years of practice in a busy hospital setting.
  • Experience in clinical research an added advantage

How To Apply
Submit your applications to Recruitment@Jubileekenya.com Kindly note that hardcopy CVs will not be accepted.

Closing date: 10th of April 2017

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