About the Organisation

Q-Sourcing is a leading HR and business process outsourcing firm that provides comprehensive staffing solutions, workforce management, and consultancy services. They cater to diverse industries including energy, telecommunications, logistics, manufacturing, and agriculture. Renowned for their tailored approach, Q-Sourcing focuses on enhancing organizational efficiency and effectiveness through innovative human resource practices and cutting-edge technology. With a strong commitment to excellence, they support businesses in achieving their goals by offering expert recruitment, training, payroll management, and compliance services.

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Q Sourcing Jobs (15 new) - 2024

Job Title

Medical Insurance Claims Officer job at Q-Sourcing Limited trading

Job Description

The Medical Claims Officer will ensure the completeness and accuracy of all the Insurance Billings on a daily basis, follow up, and submissions of all insurance Claims and rejections.

Duties and Responsibilities

Key Roles and Responsibilities

Ensure all claims are vetted and audit claims received on a monthly basis.
Oversee claims daily operations to ensure accuracy and completeness of each patient File.
Ensure that all medical diagnostic related rejections are minimized to a zero percent and a monthly rejection report is submitted to the finance manager.
Frequently give back to the affiliate doctors/specialist and all other stake holders on Insurance exclusions and limits.
To be responsible for reconciling disputed claims with the respective doctors.
To internally source for medical explanations from the respective personalities/officers to be able to explain any claims rejections and assist the credit controller in resubmitting them to the Insurance Companies for payment.
To regularly Liaise with the Insurance Companies and be able to meet and explain any variances in the Claims.
To perform any other duties that may arise in line with this role or the function it supports and as assigned from time to time.

Qualifications and Competencies

Qualifications and Requirements required:

The ideal candidate should hold a Diploma in Clinical Medicine or bachelor’s in medicine being an added advantage.
At least 3 years of experience as a Claims Officer
Willingness to work a flexible schedule and fill in when required
Excellent communication skills
Proficient computer skills
Good working knowledge of healthcare Insurance
Accurate and precise attention to detail
Ability to work well with management and staff at all levels