Medical Claims Administrator (Checker)

Medical Claims Administrator (Checker)

The Gurkha Welfare Trust Nepal (GWT (N)) invites applications from suitably qualified and interested applicants for a position of Medical Claims Administrator (Checker) (MCA (Checker)) based at the Trust’s Headquarters in Pokhara.

Essential Qualification, Skills and/or Experience:

• Minimum PCL level Degree in Nursing/Health related areas.
• At least one-year experience in an administrative/clinical practice.
• Must have good command of both spoken and written English and Nepali.
• Must be computer literate (at least MS Word, MS Excel).
• Good communication skills.
• Ability to work independently and in a team, manage multiple tasks with ease and within set time frame.

Job Responsibilities:
An MCA (Checker) deals with all aspects of medical invoices/claims, reimbursement and reconciliation of claims queries from beneficiaries with a timely and professional manner. S/he checks and verifies medical claims as uploaded by MHPs and MCC initiators for accuracy and medical appropriateness of supporting medical documents. S/he will have to communicate effectively and promptly with staff initiating claims in case of any queries or mistakes. S/he has to act professionally in all interactions with beneficiaries, secondary medical care providers, colleagues, line managers and all GWT staffs where needed. S/he will work closely with Finance and other MCC Team members to identify, trouble-shoot and resolve payment issues, referral process, emergency cases, and queries from AWCs POCs/ beneficiaries. S/he also has to maintain flexibility at workplace and ready to take responsibility as directed by line managers.

Note: Please read through the Job Description for further information on job responsibilities.

Remunerations:
The position falls under EG2 of our pay structure and will receive a basic monthly salary of NPR. 51,130. All other benefits and facilities will be provided as per GWT(N) Standing Instructions (SI).

The job is offered for three years initially and may be extended on the basis of need and performance.

Applications:

Qualified, experienced, and interested applicants are invited to apply for the position by Tue 27 Feb 24.
Only short-listed candidates will be contacted for the assessment process.
For more details and to apply, please visit our website – https://www.gwt.org.uk/nepal/nepal-vacancy/

To view the full Job Advert, click here.

Job Description can be found here.

To apply, click here.

Tagged as: Administrator, NGO INGO, Pokhara