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Claims Officer Job Guru Nanak
Accounting Jobs. Guru Nanak Ramgharia Sikh Hospital Jobs
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.
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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.
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How to Apply
Interested candidates are invited to send their CV to careers@gnrsh.co.ke by 22nd January 2026. Only shortlisted candidates will be contacted.
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