Benefit Verifier

Benefits Verifier role requires attention to detail, strong communication skills, and knowledge of healthcare insurance terminologies to ensure accuracy and completeness of medical billing information.

ADEC Kenya Services EPZ Limited, a leading provider of business process outsourcing (BPO) and knowledge process outsourcing (KPO) services, seeks a Benefits Verifier to join its dynamic team.

• Update medical billing information to ensure accuracy and completeness.
• Contact clients for missing data elements or information on claims.
• Verify information relayed by clients to address concerns and queries.
• Review explanation of benefits to ensure correctness of given information.
• Utilize various references to validate accuracy of inputted information in the system.
• Prepare and monitor thorough accounting of status updates and documents transactions.
• Analyze and classify patient/claim information before encoding.
• Actively listen and respond to customers, providing quality service in every call.

• At least 1 year of experience as a voice call center agent/Customer Service Representative handling inbound and outbound calls.
• Minimum 1+ years of outstanding phone Communication skills (Inbound & Outbound) experienced in Call Centre role in English.
• Strong knowledge of healthcare insurance terminologies.
• Familiarity with navigating insurance portals.
• Excellent attention to detail, especially with names and numbers.
• Basic technical proficiency and problem-solving skills.
• Strong working knowledge of Microsoft Office tools.