Medical Aid Assistant_Internal Advert

ROLE DESCRIPTION

At Mary Begg, the Medical Aid is based at a MBHS facility but works closely with the Finance team at Head Office in managing Medical Aid clients.  

He/she conducts herself/himself in a professional manner and always demonstrates good customer service towards all our clients, visitors, health professionals and MBHS employees.   

KEY ROLE ACCOUNTABILITIES

• Ensure that MBHS standard operating policies and procedures are followed with regards to the finance department. 


• Always adhere to the MBHS Code of Conduct and provide high quality, professional and friendly service at all times. 


• Must maintain good knowledge and understanding of financial regulations and laws in Zambia and maintain proper and efficient billing operations at all times.  Implement any changes rolled out by the ZRA or other Government institutions with approval from the Chief Accountant. 


• Address any discrepancies/queries/issues related to the patient billing each month with relevant staff and raise concerns to the Supervisor immediately for further action or follow-up. 


• Unconditional acceptance of the Mary Begg confidentiality agreement regarding patient information, staff information and all matters relating to Mary Begg business. Failure to comply will result in disciplinary action and/or dismissal from post.  

KEY RESPONSIBILITIES

• Initial Registration of medical aid clients in SMART together with Receptionist 


• Getting Pre-Authorization from Insurance companies for patients


• Getting Feedback from Doctors on medical aid patients


• Getting Pre-Authorization for Lab, Pharmacy and Exclusion


• Logging of  Invoices in SMART


• Check completeness on claim forms(Doctor & Patients signatures etc)


• Checking admission updates


• Communicating with Doctors and Insurance companies for any patients related issues


• Printing of invoice at discharge


• Receive and make telephone calls as instructed. Identify yourself openly. Speak clearly and politely. Divert calls promptly or take messages ensuring accuracy of detail and timely delivery to the recipient. 


• Maintain work operations by following policies and procedures as directed by the Company.


• Report promptly any incident or adverse event relating to staff, patients’ or visitors to the Chief Accountant or Hospital Manager. 


• Carry out any other assignment or duties given by the Medical Aid officer or Clinic Hospital Manager.  

Customer Care 

Be polite and respectful to clients and staff at all times. 

Treat all clients, visitors and staff in a courteous and respectful manner and demonstrate good customer service at all times. 

Report any evidence of poor customer service (i.e. bullying, rude behaviour, yelling etc.) to the Finance Manager or HR Manager. 

Ensure all incident and adverse event reporting is carried out according to the Company’s standard operating procedure. 

EDUCATIONAL REQUIREMENTS

• Must have a diploma in accounts/ business administration or country equivalent. 


• Must have at least 2 years work experience in the finance department in a health care setting or medium sized Zambian company. 


• Good maths and accounting skills are required for this role. 


• Demonstrates effective teamwork with other members of the finance and healthcare team. 


• Communicate with clients and staff in a clear and professional manner. 


• Demonstrate ability to manage difficult clients in a professional manner. 


• Proficient in MS Office (Word, Outlook and Excel).