Application deadline date has been passed for this Job.
  • Post Date: August 31, 2022
  • Applications 2
  • Views 1213
Job Overview


Responsible for processing payments, reconciliation of Health Care Providers statements, regular and periodic reporting and providing support to the business as required.

  • Reviewing of payment listings and prepare provider remittances
  • Manage all reconciliations with the Health provider’s, sign-offs and related documentation
  • Prepare claims reports when required
  • Maintain sound business relations with HCP’s and manage HCP network
  • Engage with the health providers and ensure accounts are reconciled and signed off on a quarterly basis
  • Conduct retrospective claims audits and communicate with Claims and Health Risk Management
  • Regularly update on Claims on reconciliations and status of the HCP network
  • Prepare periodical reports as requested from time to time
  • Help resolve payment and claims inquires and follow up with providers to ensure problems are resolved.
  • Manage the refund process in relation with claims team
  • Assist the Claims/Health Risk Department detect fraudulent activities on claims
  • Render support to the Health Risk in managing the network
  • Participate in annual product structure review
  • Build and maintain relationships with clients and stakeholders
  • Deliver client-centric processes and solutions
  • Attend to walk in clients and provide the necessary assistance
  • Develop and maintain productive and collaborative working relationships with peers and stakeholders
  • Take ownership for driving own career development
  • Identify solutions to enhance cost effectiveness and increase operational efficiency

Minimum Qualifications:

Must have at least a first degree from a recognised university in accounting/finance, CIMA/ACCA or ZICA

Minimum Experience:

Minimum one year of hands on accounting experience is required.

Send your CVs to Careers@one.co.zm

Job Detail
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