Insurance Supervisor

Insurance Supervisor

Henrob hospital zzana

Medical & Pharmaceutical

Today

Easy apply

New

Uganda

Full Time

Healthcare

USh
1,000,000 - 1,500,000

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Job summary

To oversee and coordinate all activities related to medical insurance claims, ensuring accurate and timely submission, follow-up, and settlement of claims. The role involves supervising the claims processing team, managing relationships with insurance providers, resolving claim denials or disputes, and ensuring compliance with hospital policies.

Min Qualification:

Bachelors

Experience Level

Mid level

Experience Length

2 years

Language Requirement

English

Working Hours:

Full Time - 8 to 5

Applicant Location

Entebbe, Uganda

Job descriptions & requirements

• Review

all medical and non-medical errors on each claim.

• Ensure

that all sections of all insurance claim forms are completed with no
omissions.

• Ensure that the doctor’s prescription matches the diagnosis and that their

signatures are complete.

• Ensure

that all IPD and theatre claims/invoices are submitted with guarantees of
payment attached.

• Ensure

that all Un-smarted claims are submitted with an off-smart authorization
attached.

• Ensure

that all monthly claims of all insurance companies and corporates are
fully submitted by the 5th of every month.

• Ensure

that the invoiced/submitted amount per insurer matches the final reported
system amount per month

• Obtain

remittance advice per insurer every month specifying paid amounts and
rejected amounts per bill.

• Make

a summary of rejections per insurance company, invoice number, amounts,
and patient names.

• Classify

all rejections into major reasons for rejection.

• Identify

justifications for medical rejections and correct errors on non-medical
claims.

• Identify

reclaimable bills per insurer, resubmit, and attend reconciliation
meetings with insurance companies.

• Communicate

common reasons for rejections with the responsible officers to avoid a
repeat of the same.

• Identify

rejections due to negligence and attach them to responsible officers for
recovery

• Compile

a daily report on work done (invoices received, vetted, and rejected) per
biller and per insurer.

• Claims

vetting – Conduct daily claims and system audits to ensure that all clients who come to the hospital are billed correctly.

• Ensure that the right entries are entered into

Eafya and the 3rd party billing systems.

Ensure that the Day and Night invoices are
vetted on a daily basis.