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Clinical Claims Analyst Job South B Hospital
Medical Jobs.South B Hospital Jobs
We are seeking a detail-oriented and analytical Clinical Claims Analyst to join our
team. The role involves reviewing, analyzing, and processing medical claims to
ensure accuracy, compliance, and alignment with clinical, insurance and
Key Responsibilities:
- Review and analyze medical claims for accuracy, completeness, and
- compliance.
- Verify patient records, treatment details, and billing information.
- Liaise with healthcare providers, insurance companies, and internal teams to
- resolve discrepancies.
- Identify and flag inconsistent claims.
- Ensure adherence to regulatory and insurance requirements.
- Track and manage claims turnaround times (TAT) to ensure timely processing
- and settlement.
- Follow up on pending, rejected, or partially approved claims and provide
- resolutions.
Key Requirements:
- Diploma or Degree in a Clinical Medicine
- At least 3 years’ experience in medical claims analysis, billing, or a similar role
- Strong knowledge of medical terminology and clinical procedures.
- Familiarity with insurance processes and claims management systems.
How to Apply
Send your CV to: hr@southbhospital.co.ke by 11th April 2026.
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