At Radiant Group of Hospitals, I lead and supervise the medical claims team and review complex claims for clinical justification, eligibility, and appropriate billing. I also oversee claims submitted to SHA and private medical insurers.
At Medical Administrators Kenya Limited (MAKL), I vetted medical and surgical preauthorizations and claims, assessed medical necessity, and coordinated patient care. I also managed emergency road and air evacuations and engaged providers on procedure, laboratory, and radiology costs.
My clinical experience includes patient consultations, diagnosis, and treatment at Kalimoni Mission Hospital Juja, following supervised training at St Mary’s Mission Hospital Lang’ata and Elementaita. I hold a Diploma in Clinical Medicine and Surgery and a Certificate of Proficiency in Insurance.
