Job Summary
- Type: full-time
- Location: Gaborone
- Category: Healthcare & Medical
- Closing Date: 2026-08-18
Key Responsibilities
- Process & submit medical claims accurately
- Billing & coding in line with ICD-10 & CPT standards
- Liase with medical aid providers to resolve claim issues
- Assist with financial reconciliations & audits
- Ensure compliance with clinic policies and regulations
Requirements
- Diploma/Degree in Medical Billing, Health Information Management or related field
- Experience in medical claims processing in a healthcare facility
- Strong knowledge of ICD-10 & CPT coding systems; Proficiency in medical billing software (GoodX or similar systems is an advantage)
- Excellent attention to detail & organizational systems.
How to Apply
Frequently Asked Questions
What qualifications and experience are typically required for a Claims Officer role in Botswana, especially in a clinic setting?
Most employers in Botswana seek candidates with a diploma or degree in business administration, accounting, or a related field. Relevant experience in medical claims processing or healthcare administration is often preferred, demonstrating an understanding of local healthcare systems and medical aid schemes.
What are the common day-to-day responsibilities of a Claims Officer at a clinic like AO-K in Botswana?
Daily tasks involve processing medical aid claims, verifying patient eligibility, and liaising with medical aid schemes and patients regarding claim status. This also includes maintaining accurate patient records and ensuring compliance with Botswana's healthcare regulations and ethical standards.
What is the typical work culture and what are the general expectations for a Claims Officer in a Botswana healthcare setting?
The work environment often emphasizes professionalism, attention to detail, and strong ethical conduct, especially when handling sensitive patient information. Punctuality, reliability, and good communication skills are highly valued in Botswana's professional settings, alongside a strong customer service orientation.
What are the realistic career progression opportunities for a Claims Officer in the Botswana healthcare sector?
With experience, a Claims Officer can progress to Senior Claims Officer, Claims Supervisor, or even into broader administrative or management roles within a clinic or hospital. Further education in healthcare management, finance, or a related field can also open doors to more specialized positions.
What are the common benefits offered for a Claims Officer role in Botswana, such as leave, medical aid, or pension?
Typical benefits packages in Botswana often include statutory annual leave, sick leave, and possibly a medical aid contribution from the employer. Some organizations also offer a pension scheme or provident fund contribution as part of their employee compensation package.
What do employers in Botswana look for when hiring a Claims Officer, and what's the best way to apply?
Employers seek strong analytical skills, meticulous attention to detail, and excellent communication abilities, particularly experience with local medical aid schemes and billing procedures. The best way to apply is usually through online portals or direct email as specified in the job advert, ensuring your CV and cover letter are tailored to the role and highlight your relevant experience.