Accounts Assistant (Short-Term Contract – 3 months) – (2500002B)

Job purpose:    

The role holder will be responsible for Medical Accounting, including Fund management, general ledger reconciliations, premium collections, provider reconciliation,s and ensuring that provider payments are made on time.

Key responsibilities:

Payments and Reconciliation:

• Prepare monthly hospital payout targets for major providers and send the list to the Medical Claims Team. 
• Generate and send remittance advice for payments made to the respective medical providers, including 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 the 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 Outpatient fund account: 

• Generate the Insured premium statement and facilitate the collection of the same with the Sales team and intermediaries.
• Reconciliation and collection/recovery of medical claims paid outside the 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 compliant.

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:

• 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 the 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. Click here to apply