• Claims vetting – Conduct daily claims and system audits to: o ensure that all clients who come
to the hospital are billed correctly.
o ensure that right entries are entered into E H R and the 3rd party billing systems.

Hospital Claims Officer
o Ensure that the Day and Night invoices are vetted on a daily basis. o Review claims
for completeness, accuracy, and compliance with insurance and regulatory
requirements.

• Invoice handling: o Review interim bills daily and discharges and ensure creativeness of bills
that meet the standards of insurance and cash patient.
o Oversee billing, pricing and insurance claims management.
• Invoice submission and reconciliation. o Supervise and coordinate daily operations of the
claims department, including claim preparation, submission, follow-up, and reconciliation.
o Ensure all claims are submitted accurately and within payer timelines to avoid
rejections or delays.
o Investigate and resolve denied, underpaid, or delayed claims, coordinate appeals and
resubmissions as necessary.
o Liaise with insurance companies, patients, and internal hospital departments to
resolve claim issues.

• Liaison with Insurance Companies /stakeholder management– o Review preauthorization
forms for completeness/ justification and follow up on insurance response o To make sure that
all communication from invoicing companies is disseminated to the CLOs and all required
parties in a timely manner e.g. new updated lists, off list and contract updates.
o Follow up on any queries as regards guarantees of payment, authorization requests
and provide any other clarity required from insurance companies as required.
o Meeting attendance and representation
• Reporting: o Will provide a daily status report on service income split between posted invoices,
pending invoices for different insurance companies, a status on all non-paid off transactions in E
H R and means of resolution
o A report on variances between E H R, SMART and any other portal that an insurance
company uses. o Revenue collection analysis – compare lists EHR BI and actual
revenue invoiced

• Orientation and Training: o The Claims Officer shall ensure continuous training for CLOs and
any other required personnels on E H R, SMART & insurance companies’ smart systems & will
also provide induction and on-boarding for new staff on technical, non-technical, system related
skills required for the job at hand.
o Devise Billing protocols & manuals, ensure alignment and compliance of teams
• Assets Custodianship o Ensure effective custodianship and accountability for all assigned
MSUG assets by implementing controls to prevent loss, theft or misuse of assets.
Knowledge, Skills and Attitudes

Hospital Claims Officer

• BSc or Diploma as a Clinical Officer or Registered Nurse
• Strong background and prior experience/ exposure to medical claims
• Strong knowledge of healthcare insurance processes, billing systems, and medical
terminology.
• Excellent leadership, analytical, and problem-solving skills.
• Strong interpersonal and communication abilities for interacting with insurers, patients, and
hospital staff.
Knowledge, Skills/ Experiences, and Abilities
• Excellent organisational skills and high attention to detail
• Analytical thinking and data interpretation
• Knowledge of healthcare regulations and insurance procedures
• Negotiation and conflict resolution skills
• Confidentiality and ethical conduct
• Demonstrated ability to balance multiple tasks and priorities
• Strong interpersonal skills that include an ability to work in team environment
• Good interpersonal/communication (both oral and written) and time management skills.
• Good working knowledge of Microsoft Office applications (MS Word, Excel, and MS
Access)
• Three years of relevant hospital management experience or clinical setting.
• Four years in administration at managerial level.
Personal Attributes
Successful performance at MSI is not simply defined in terms of ‘what’ people achieve but equally is about
‘how’ people go about their jobs and the impact that they have on others. We encourage and expect all
team members will demonstrate the following behaviours:
• Initiative
Thinking ahead and taking action to make the most of opportunities by finding the optimum
solution
• Innovative
Thinking creatively and outside of the box so that ideas generated create a positive outcome
• Effective Communication
Communicating through active listening and good questioning techniques, using appropriate body
language, ensuring information is clear and concise.
• Responsive
Being responsive to changing priorities and demands

Hospital Claims Officer
• Working Efficiently
Planning, prioritising and organising work to ensure work is accurate and deadlines are met
• Sharing Information
Sharing information and knowledge whilst maintaining confidentiality
• Focus on Learning.
Taking responsibility for keeping knowledge and skills updated and for seeking opportunities
to develop further
• Commitment
Awareness and understanding of goals, vision, and values and how your role impacts on this and
going the extra mile to meet role requirements
• Driven
Drive and determination to deliver results
• Accountable
Taking responsibility for appropriate decisions that you make, and the actions and behaviour
you demonstrate
• Embracing Change
Openness to embracing change within the organization and being able to adjust
plans/activities accordingly
• Motivated
Motivation towards achieving quality results to maximize potential
• Team Player
Working as part of a team by being supportive, flexible and showing respect for each other
MSI Behaviours and Values
Team Member Behaviours
Work as One MSI
• You contribute, use, and share accurate data and evidence to improve understanding, insight
and decision-making across MSI, enabling us to maximize our ability to influence others.
• You share relevant knowledge, expertise, and resources to strengthen teamwork and prevent
duplication of effort.
• You actively work as part of a team, providing support and flexibility to colleagues,
demonstrating fairness, understanding and respect for all people and cultures.

Hospital Claims Officer
Show courage, authenticity and integrity.
• You hold yourself accountable for the decisions you make and the behaviours you
demonstrate.
• You are courageous in challenging others and taking appropriate managed risks.
Develop and grow
• You seek feedback to enable greater self-awareness and provide the same to others in a
way which inspires them to be even more effective.
• You manage your career development including keeping your knowledge and skills up to
date.
Deliver excellence, always
• You strive to consistently meet and exceed expectations, putting clients at the centre of
everything, and implement smarter, more efficient ways of performing your role.
• You build and maintain effective long-term working relationships with all stakeholders and are
a true MSI ambassador.
Leadership (For Leaders only)
• You inspire individuals and teams, through situational leadership, providing clear direction.
• You seek and provide opportunities which motivate team members, helping to develop skills
and potential whilst strengthening our talent and succession pipeline.
• You are aware of emerging developments in our sector, demonstrating strategic insight about
our clients and business and encourage this in your team.
• You articulate a vision of the future which inspires and excites others.
MSI Values
• Mission driven: With unwavering commitment, we exist to empower women and men to
have children by choice not chance.
• Client centred: We are passionate about our clients and dedicate our efforts to delivering
agreed objectives to the highest possible quality.
• Accountable: We are accountable for our actions and take responsibility for everything we
do to ensure long term sustainability and increased impact.
• Courageous: We recruit and nurture talented, passionate, and brave people who have the
courage to push boundaries, make tough decisions and challenge others in line with our
mission.
• Resilient: In challenging situations, we work together and support each other, adapting and
learning to find solutions, whatever we’re up against.

Hospital Claims Officer • Inclusive: We believe that diversity is a strength. We all play our part in creating a culture
where every team member can thrive, feel valued and contribute meaningfully to our
mission, and where all our clients feel welcome and supported.
If you meet the specified minimum job requirements, we encourage you to apply following the
procedures below.
Application Process:
• Submit your cover letter, CV, and academic documents as a single PDF file.
• Clearly indicate the job title in the subject line of your email.
• Send your application to jobs@mariestopes.or.ug.
• Applications will be reviewed on a rolling basis; early submissions are encouraged.
• Deadline: 20th February 2026

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