Accounts Assistant (Short-Term Contract – 3 months) – (2500002B)
Job Purpose and Key responsibilities
Job purpose:
The role holder will be responsible for Medical Accounting including Fund management, general ledger reconciliations, premium collections, provider reconciliations and ensuring that provider payments are made on time.
Key responsibilities:
Payments and Reconciliation:
- Prepare monthly hospital pay out targets for major providers and send the list to Medical Claims Team.
- Generate and send remittance advises for payments made to the respective medical providers including with the invoice details.
- Review pay outs on a regular basis with an aim of ensuring that monthly pay out targets for major providers are met.
- Perform reconciliations with provider statements, ensure resolution of outstanding balances on a timely basis and obtain clearance letters from providers.
- Reconcile Britam Credit account facilities with the various providers and ensure the same are maintained within the agreed SLAs.
- Monitor medical provider guarantees ensuring timely renewal of expired guarantees and cancellations for discontinued providers.
- Negotiate for provider efficiency discounts & annual volume discounts.
- Facilitate recoveries on payments above average.
- Delegated Authority: As per the approved Delegated Authority Matrix.
Fund & Insured Schemes Management:
- Monitor utilization of funded schemes and follow up on replenishment at 75% utilization.
- Generate and issue monthly fund utilization statements and Insured schemes on request.
- Advise cashier on the receipting and allocation for all medical collections including; Insured premiums, Funded schemes and card costs.
- Perform monthly reconciliation of funded schemes and agree balances to ERP
General Ledger Out Patient fund account:
- Generate Insured premium statement and facilitate collection of the same with the Sales team and intermediaries.
- Reconciliation and collection/recovery of medical claims paid outside policy.
- Process medical premium refunds to clients.
- Prepare monthly reports on provider reconciliation status on reconciliation, discounts, sign off & clearance.
- Ensure all service providers are etims complaint.
General Ledger Reconciliations:
- Prepare monthly reconciliation of general ledgers assigned and pass any adjusting entries to ensure accuracy of amounts reported.
Knowledge, experience and qualifications required
Knowledge, experience and qualifications required:
- Bachelor’s degree in a business related field.
- CPA(K) or other similarly recognized accounting profession qualification.
- 2-3 years of accounting experience in a similar role.
- Knowledge of ERP AP system and/or experience of using Oracle Financials would be an advantage.
- Strong computer and business solutions software skills.
- Strong analytical and problem solving skills.
- Analytical skills.
Technical/ Functional competencies:
- Knowledge of insurance regulatory requirements.
- Knowledge of insurance products.
- Sales and marketing management skills.