Programme Assistant
Healthcare, Pharmacy, Doctors Jobs
Job Description
The Programme Assistant will support claims processing, referral analysis, capacity building of nurses, and community health workers, data verification, electronic document management, the payment processes for the Urban Voucher programme and will provide support for the compilation and preparation of the UV progress reports.
Duties and Responsibilities
Voucher Management
• Handle direct billing voucher claims and act as a focal point for claims requiring voucher knowledge.
• Routinely screen and manage and verify claim forms in a timely manner as per the Programme Implementation Manual and the Standard Operating Procedures. In addition, undertake technical and in-depth analysis of the claim forms before approving, investigating the claim or rejecting payment.
• Assess whether referrals made to Central hospitals adhere to procedures.
• Develop the capacity of nurses in maternity and neonatal care and community health workers in beneficiary identification and follow up of pregnant women.
• Work very closely with focal persons within the City Health Department, District Health Executive members, and Department of Housing and Community Services, to capacitate them on the Urban Voucher processes including document management and payments for institutionalisation purposes.
• Assess, check and verify whether the reported quantity of the services delivered is correct.
• Work efficiently and effectively to eliminate any chance of fraud and abuse over a claim and flag any suspicious cases as soon as possible and complete fraud investigation process.
• Fully investigate all information that is received concerning claims and query anyanomalies that may occur.
• Update system notes for claims assessed accurately and in a timely manner.
• Update and provide proper and complete instructions on claim eligibility provided on pre assessment sheet for proper and timely settlement of the claim.
• Assist in the verification of vouchers, submitted claims and check invoices for making payments to the service providers.
• Maintain a record of claims, errors recorded and issues under investigation in trackable format/dockets and update the Voucher Expert on any outstanding or pending issues and claims.
• Follow up on the timely submission of claims and other programmatic reports including payment processing.
Document Management
• Scrutinize submitted programme documents to ensure compliance with the programme standards and audit requirements.
• Coordinate and be the focal point for organizing shared documents; the Programme Assistant will be responsible for all the digital filing, updating, labelling and archiving in the shared and public documents folder on the server.
• Follow-up, coordinate and ensure that the hard copy – RBF Programme Files are up-to-date and meet the Standard Cordaid Filing and Archiving system and procedures.
• Support the compilation and preparation of the UV progress reports.
Payment
• Update and maintain an accurate record of the Community Based Organisations, Community health workers and Case care workers contact list and the payment points.
• Facilitate the payments for Community Based Organisations, Community Health Workers, Community Care Workers, Social services officers as per the agreed payment method and due times.
• Attend to queries and complaints of Community Based Organisations, Community Health Workers, Community Care Workers, Social services officers in regard to payments and follow-up on the written confirmation of payment receipts.
• Any other duties as and when required and may be assigned by the line manager.
Any other duties as and when required and may be assigned by the line manager.
Qualifications and Experience
• Possess a Clinical background – at least a diploma in Nursing and/or Midwifery, with at least three years of clinical experience and an additional two years of managerial experience at health facility level. A degree in Nursing/ Midwifery would be an added advantage.
• Proven experience in compiling and auditing of health data, with progressive administrative experience.
• Proven experience in the RBF programme is an added advantage.
• Excellent communication skills including writing skills and telephone manner.
• Excellent interpersonal skill including negotiation skills, interview skills and training.
• Experience in assessing voucher claims function within health organisation is of an added advantage.
• Proficiency in the use of computers and office software packages (MS Word, Excel, PowerPoint).
• Should be adaptable and able to work with minimal supervision.
• Possess high level of organisational skills and demonstrate initiation and be able to prioritise varied and important tasks.
• Show honesty, integrity, trustworthy and loyalty.
• Ability to respond to multiple team objectives.
How to Apply
The UV programme assistant shall be selected based on the Individual Specialist selection method of the World Bank’s regulations. Main criteria for the selection will be relevant work experience and qualifications.
To apply
Qualified and experienced persons are encouraged to urgently apply and attach detailed CVs to: HR.Zimbabwe@cordaid.org and copy procurementzim@cordaid.org
Deadline : 17 May 2021
