MEDICAL BENEFIT SPECIALIST

Join our dynamic team as a Benefits Specialist, where you will play a crucial role in responsible for verifying patient insurance coverage and eligibility with insurance providers using the organization’s billing software and various online payor systems. This role ensures that all insurance information, including primary and secondary coverage, is accurate and up to date. The position involves analyzing insurance data, entering updates into the system, and making necessary corrections to ensure proper billing and claims processing This position offers a dynamic opportunity to contribute to our fast-paced, high-growth environment, where your organizational skills and attention to detail will be instrumental in optimizing our billing operations.

KEY RESPONSIBILITIES:

• Conduct verification and benefit investigations with insurance companies, ensuring adherence to criteria and complete
• Provide accurate and timely follow-up on assigned tasks, ensuring effective task management and
• Collaborate closely within a team to maintain a professional and efficient work
• Initiate genetic authorization inquiries to resolve reimbursement and coverage
• Manage, record, verify, and update patient and insurance data from various
• Perform other tasks involving data entry as necessary.

 QUALIFICATIONS & REQUIREMENTS

• 1+ years of medical eligibility and benefits screening and authorization experience preferred
• Minimum 1+ years of outstanding phone Communication skills (Inbound & Outbound) experienced from Call Centre role in English.
• Understanding of medical terminology and Medical Insurance.
• Excellent organizational and task management skills; able to
• Effective communicator with the ability to present information in a clear, concise
• Enjoys solving problems and identifying
• Fast learner, always wanting to take on the next
• Knowledge of CPT, HCPCS, and ICD-10 codes
• US Healthcare/Call centre experience will be an added
• Flexible to accommodate different shift jobs including night shifts and must be staying within or ready to relocate to Kitengela, Athi River, or Mlolongo.

How to Apply:

Interested candidates are invited to submit their CVs highlighting their relevant experience and skills to kenya@adec-innovations.comand a copy to jobs@bestlinks.co.ke Or WhatsApp: +254 788 182380 Please mention "Benefit Specialist Application" inthe subject line to reach us on or before the close of business on 26th November 2024.

ADEC Kenya is committed to conducting business ethically in every country where we operate, we employ based on merit, opportunity, and by the Law. No one should pay or be requested to pay any money in kind for an opportunity available or promise of an opportunity within Adec-Kenya.