The Finance Trainee, Claims & Billing, will support the Insurance Claims Officer and the Billing & Revenue Reconciliation Officer in the day-to-day processing, monitoring, and reconciliation of insurance claims and clinic revenue. This is a hands-on learning role designed to build a strong foundation in healthcare billing, claims management, and revenue tracking within a fast-paced digital health environment.
Reporting Line
Reports to: Finance Manager
Works closely with: Insurance Claims Officer, Billing & Revenue Reconciliation Officer
1. Claims Processing Support
• Assist in the accurate preparation and submission of insurance claims across all service points.
• Verify completeness of claim documentation before submission, including clinical notes and billing codes.
• Help track and update claim status across platforms such as M-TIBA, SLADE, and EDI portals.
• Follow up on pending, queried, or delayed claims under the guidance of the Insurance Claims Officer.
2. Billing & Invoice Tracking
• Track daily invoices and claims generated across service points and confirm alignment with services rendered.
• Support accurate allocation of insurance payments to the corresponding invoices.
• Identify and flag billing discrepancies or revenue gaps for review by the Billing Officer.
3. Reconciliation Support
• Assist in maintaining and updating Statements of Account (SOAs) for insurance providers.
• Support monthly reconciliation exercises, including preparation of supporting documentation.
• Help prepare and file reconciliation records in an organised manner for audit readiness.
4. Reporting & Documentation
• Assist in preparing weekly reports on claims processed, submitted, pending, rejected, and paid.
• Maintain well-organised claims records, both electronic and physical, to support audits and follow-ups.
• Provide data inputs for daily revenue and payout reports as directed.
5. Internal Support
• Respond to basic claims queries from the front desk and medical teams with guidance from senior officers.
• Support the pre-authorisation process by tracking submissions and follow-ups with insurance providers.
• Assist with any other finance and operations tasks as assigned.