TIBU HEALTH LIMITED
About Us
Tibu Health is an innovative omnichannel health technology company transforming the way patients access and receive healthcare services across Africa. Our mission is to streamline the patient journey by leveraging technology to connect individuals with healthcare professionals at their convenience.
We believe healthcare needs a revolution, and we’re working hard to make it happen.
Position: Medical Claims & Finance Officer
Location: Nairobi Duration: Permanent Job Type: Full-time Contract Reporting to: Finance Manager
Are you detail-oriented and passionate about medical claims management and financial operations? Tibu Health is looking for a Medical Claims & Finance Officer to join our dynamic team. This role is ideal for professionals who excel in claims processing, billing accuracy, financial reconciliation, and customer service within the healthcare sector.
Key Responsibilities
- Process medical insurance claims in accordance with established policies and procedures.
- Collect,analyse and verify accurate documentation for claims processing.
- Monitor the progress of claims and ensure timely resolution.
- Handle complaints and inquiries related to claims and benefits.
- Maintain positive relationships with insurance partners and corporate clients.
- Ensure finance and general filing systems (both hard copy and electronic) are up to date and well-organized.
- Prepare billing statements for insurance companies, corporate patients, and third parties.
- Review billing for accuracy and completeness before submission.
- Analyze invoices and financial data, generate reports, and respond to billing inquiries.
- Ensure all services provided are accurately billed and invoiced.
- Prepare daily, weekly, and monthly billing reports for financial tracking.
- Manage corporate/SHIF invoices and claims, ensuring timely dispatch within the agreed credit period.
- Follow up with insurance companies, SHIF, and corporate partners for timely payment of claims.
- Enter corporate invoices into ETIMS, generate receipts, and maintain organized records.
- Perform daily bank reconciliations and enter transactions into the accounting system and ensure timely allocation of payments.
- Support the monthly financial reconciliation process.
- Assist in financial reporting and compliance with regulatory standards.
- Provide exceptional customer service by addressing claims-related queries.
- Check insurance/corporate/ SHIF documents for authenticity and validity
- Confirm and communicate all dispatches and statements to insurances every month.
- Share final rejection report with clear reasons per account.
- Ensure timely update of schemes, plans and updates.
- Any other responsibility assigned to the jobholder by the supervisor from time to time
Qualifications & Competencies
- Degree or Diploma in Business Administration, Economics, Finance, or a related field.
- Partial accounting qualification (CPA Part II or ACCA 2).
- Minimum of 4 years’ experience, with at least 2 years in a billing function.
- Proven experience in processing NHIF and insurance claims.
- Strong computer literacy, including proficiency in Microsoft Excel and QuickBooks.
- Excellent attention to detail and analytical skills.
- Strong customer relations and communication skills.
- Effective negotiation skills for claims settlements.
- Ability to meet tight deadlines.
- Strong organizational and time management skills.
Why Join Tibu Health?
✔ Work with a forward-thinking healthcare company revolutionizing patient care. ✔ Be part of a dynamic and supportive team committed to excellence. ✔ Gain exposure to cutting-edge health technology and streamlined processes. ✔ Competitive compensation and growth opportunities within the organization.
How to Apply
If you’re passionate about medical claims management and financial operations and meet the qualifications, apply now to become a Medical Claims & Finance Officer at Tibu Health!
