Job Information
Job Description
- Prepare monthly hospital pay out targets for major providers and send the list to Medical Claims Team leader
- 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 and ensure resolution of outstanding balances on a timely basis.
- 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.
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