CIC Insurance Care Officer – Medical Jobs in Kenya

Purpose:

Responsible for accurate capture of inpatient undertakings, authorization, cost control and hospital length of stay management.

Primary Responsibilities:

Monitor inpatient authorizations and admission undertakings;

Monitor cost control, average length of stay on inpatient authorizations;

Pre-authorize optical and scheduled cases;

Coordinate medical care monthly Rota and duty allocation and ensure conformity to rota and assigned duties/coverage;

Respond to client, provider and contact person queries on cases involving medical care management;

Receive and respond to Medical emergency lines and ensure 24-hour coverage and

Negotiate for discounts from doctors on specific cases and procedures as they arise.

Generic Duties

Carry out performance appraisal, coaching and mentoring staff;

Participate in planning and budgeting for the department.

Person Specifications

Academic Qualifications

Bachelor’s degree in Health System Management, Nursing or in a related field

Professional Qualifications

COP-Insurance is an added advantage

Experience

Up to three (3) years’ relevant experience

Skills and Attributes

Problem solving skills;

Good analytical skills;

Computer literate in MS Office and other office applications;

Understanding of the working environment /competitors;

Technical competence in insurance;

Basic knowledge of regulations by AKI and IRA;

High emotional intelligence;

How to Apply

For more information and job application details, see; CIC Insurance Care Officer – Medical Jobs in Kenya

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