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:

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.

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