Volunteer – Vetting / Medical Claims Officer job at NFT Consult

Our client is part of the healthcare cluster of the CIEL Group and is a leading healthcare provider in Uganda and the region, delivering quality medical services while always putting patients first.

The Volunteer Vetting/Medical Claims Officer will support the Finance team in reviewing and verifying medical claims to ensure accuracy and completeness before submission to insurance companies and corporate clients. This role provides an opportunity to gain practical experience in medical billing, claims vetting, and healthcare finance processes.

Key Duties and Responsibilities;

• Support the review of medical and non-medical errors on insurance claims.
• Assist in checking that all sections of insurance claim forms are completed correctly.
• Verify that doctors’ prescriptions correspond with diagnoses and that required signatures are present.
• Support the review of IPD and theatre claims/invoices to ensure guarantees of payment are attached where required.
• Assist in ensuring that off-smart authorizations are attached to applicable claims.
• Support the preparation and submission of monthly claims for insurance companies and corporate clients.
• Assist in confirming that invoiced amounts correspond with system-reported amounts.
• Support the compilation of remittance advice from insurers indicating paid and rejected claims.
• Assist in preparing summaries of rejected claims by insurer, invoice number, patient name, and amount.
• Help classify reasons for claim rejections and identify common issues.
• Support correction of non-medical errors and preparation of reclaimable bills for resubmission.
• Participate in reconciliation preparations with insurance companies where required.
• Support communication of common rejection reasons to relevant officers to prevent recurrence.
• Assist in preparing daily or periodic reports on claims received, vetted, and rejected.
• Perform any other duties assigned from time to time for learning and departmental support.

Learning Opportunities

The volunteer will gain exposure to:

• Medical billing and insurance claims processes.
• Healthcare finance and revenue cycle management.
• Claims vetting and reconciliation procedures.
• Use of healthcare financial systems

Qualifications and Skills;

• Diploma or degree in Clinical Medicine, Health Records, Nursing, Accounting, Finance, or a related field.
• Interest in healthcare administration, medical billing, or finance.
• Basic computer literacy, particularly Microsoft Office.
• Good communication skills (both verbal and written).
• Strong attention to detail and willingness to learn.
• Ability to work well with teams and follow instructions.

• Support the review of medical and non-medical errors on insurance claims.
• Assist in checking that all sections of insurance claim forms are completed correctly.
• Verify that doctors’ prescriptions correspond with diagnoses and that required signatures are present.
• Support the review of IPD and theatre claims/invoices to ensure guarantees of payment are attached where required.
• Assist in ensuring that off-smart authorizations are attached to applicable claims.
• Support the preparation and submission of monthly claims for insurance companies and corporate clients.
• Assist in confirming that invoiced amounts correspond with system-reported amounts.
• Support the compilation of remittance advice from insurers indicating paid and rejected claims.
• Assist in preparing summaries of rejected claims by insurer, invoice number, patient name, and amount.
• Help classify reasons for claim rejections and identify common issues.
• Support correction of non-medical errors and preparation of reclaimable bills for resubmission.
• Participate in reconciliation preparations with insurance companies where required.
• Support communication of common rejection reasons to relevant officers to prevent recurrence.
• Assist in preparing daily or periodic reports on claims received, vetted, and rejected.
• Perform any other duties assigned from time to time for learning and departmental support.

• Basic computer literacy, particularly Microsoft Office.
• Good communication skills (both verbal and written).
• Strong attention to detail and willingness to learn.
• Ability to work well with teams and follow instructions.

• Diploma or degree in Clinical Medicine, Health Records, Nursing, Accounting, Finance, or a related field.
• Interest in healthcare administration, medical billing, or finance.