Medical Claims Admin

save-the-children - Egypt | 2024-08-18 13:46:03

 

TITLE:  Medical Claims Admin
TEAM/PROGRAMME: Program Operations, Health Team LOCATION: Cairo
GRADE: 6 CONTRACT LENGTH: till 31 December 2024

CHILD SAFEGUARDING: (select only one)

Level 2: either the post holder will have access to personal data about children and/or young people as part of their work; or the post holder will be working in a ‘regulated’ position (accountant, barrister, solicitor, legal executive); therefore, a police check will be required (at ‘standard’ level in the UK or equivalent in other countries).

 

ROLE PURPOSE:

 

The Admin provides administrative support to the claims department, S/He Performs a variety of associated administrative tasks in support of the Medical Claims Unit.  Coordinates specified administrative activities across multiple medical health care providers.

SCOPE OF ROLE:

 

Reports to: Claims Officer

Staff reporting to this post: N/A

Role Dimensions: Close coordination with elective and emergency teams, Finance unit and contracted health care providers.

 

 

KEY AREAS OF ACCOUNTABILITY:

 

  • Setting up and maintaining filing systems for records

·        Receiving medical claims and thoroughly reviewing them to ensure no missing information or documentation.

·        Provide support to the Claims Unit as required

·        Maintain an efficient filing system of all claims

·        File claims, enter data, and update databases with current daily information.

·        Contacts health service providers, hubs, and others to locate information or documentation regarding medical claims.

·        Handling cash payments with healthcare providers

·        Ensure SCI policies and procedures are being adhered to improve program operational efficiency.

BEHAVIOURS (Values in Practice)

Accountability:

·        holds self-accountable for making decisions, managing resources efficiently, achieving and role modelling Save the Children values

·        holds the team and partners accountable to deliver on their responsibilities - giving them the freedom to deliver in the best way they see fit, providing the necessary development to improve performance, and applying appropriate consequences when results are not achieved.

Ambition:

·        sets ambitious and challenging goals for themselves and their team, takes responsibility for their own personal development, and encourages their team to do the same

·        widely shares their personal vision for Save the Children, engages and motivates others

·        future-orientated, thinks strategically and on a global scale.

Collaboration:

·        builds and maintains effective relationships, with their team, colleagues, Members and external partners and supporters

·        values diversity, sees it as a source of competitive strength

·        approachable, good listener, easy to talk to.

Creativity:

·        develops and encourages new and innovative solutions

·        willing to take disciplined risks.

Integrity:

·        honest, encourages openness and transparency; demonstrates highest levels of integrity

 

QUALIFICATIONS 

 

·        Bachelor degree in relevant administrative field is required

EXPERIENCE AND SKILLS

 

Required

 

·        A minimum of 2-3 years of experience in the administrative field

·        Highly developed interpersonal and communication skills.

·        Working knowledge of the MS Office suite (Word, PowerPoint & Excel).

·        Commitment to Save the Children International values

 

Desirable

  •  2-3 years of experience in medical claims administration.
  • Good knowledge of Child Safeguarding will be an added advantage.
  • Previous work with refugees/asylum seekers is a plus.

 

Additional job responsibilities

The duties and responsibilities as set out above are not exhaustive and the role holder may be required to carry out additional duties within reasonableness of their level of skills and experience.

Equal Opportunities

The role holder is required to carry out the duties in accordance with the SCI Equal Opportunities and Diversity policies and procedures.

Child Safeguarding:

We need to keep children safe so our selection process, which includes rigorous background checks, reflects our commitment to the protection of children from abuse.

Safeguarding our Staff:

The post holder is required to carry out the duties in accordance with the SCI anti-harassment policy

Health and Safety

The role holder is required to carry out the duties in accordance with SCI Health and Safety policies and procedures.

JD written by:  SCI Date: Feb 2019
Updated By: S I Date: June 2022
     

 

 



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