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Gorety Otieno

Gorety Otieno

Billing/Claims officer

Talent
KisumuMember since September 28, 2026
Microsoft WordMicrosoft ExcelPowerPoint presentationGood communication skillsTeam playerClassroom managementProblem solving and crisis managementFlexibleInterpersonal skills
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Microsoft WordMicrosoft ExcelPowerPoint presentationGood communication skillsTeam player

About

An enthusiastic individual with a high passion for understanding global dynamics through the lens of the past. Possessing strong research, analytical, and communication skills honed through academic studies and extracurricular activities. Proven ability to critically analyze complex historical events and their contemporary implications. Adaptable and eager to contribute to diverse professional environments where historical knowledge and international perspective are valued.

Experience

Billing/Claims officer at Port Florence Community Hospital (2025-01 – Present)

  • Processing and managing SHA claims accurately and within the required timelines.
  • Handling inpatient and outpatient admissions and discharges in accordance with hospital procedures and SHA requirements.
  • Conducting SHA pre-authorizations for inpatient services.
  • Preparing, verifying, and submitting invoices for services rendered.
  • Ensuring completeness and accuracy of patient billing information and claim documentation.
  • Following up on pending, rejected, or unpaid claims and resolving billing discrepancies.
  • Coordinating with clinical departments to obtain required medical records and supporting documents.
  • Maintaining proper records of claims, invoices, admissions, and discharge reports.
  • Ensuring compliance with SHA policies, hospital billing procedures, and regulatory requirements.
  • Updating patient billing systems and maintaining confidentiality of patient information.
  • Assisting patients and clients with billing inquiries, insurance verification, and claim-related concerns.
  • Liaising with insurance providers and relevant departments to facilitate smooth claims processing.
  • Performing any other billing and claims-related duties assigned by management

Front office/Receptionist and customer service at Port Florence Community Hospital

Secretary/administrative duties at History and international relations department – Egerton University (2025-01 – 2025-08)

  • Received and directed visitors to the concerned officers
  • Prepare and dispatch notice of meetings, memos and letters
  • Typed minutes of meetings
  • Press release and speeches on time
  • Maintained daily attendance registers for the department
  • Assisting in organizing workshops, conferences, seminars and trainings

Home schooling and private tutoring (2024-05 – 2024-08)

  • Designed individualized lesson plan to meet students need
  • Created a motivating learning environment, driving academic improvement.

Casual worker at Kibos Paper Company (2023-07 – 2023-08)

  • Assisted in various stages of the paper production process.
  • Assisted in inventory counts, monitoring stock levels, and organizing storage areas to ensure efficient use of space.
  • Conducted basic quality checks on paper products to ensure they meet company standards before packaging and shipment.
  • Communicated effectively with supervisors and coworkers to relay information, report issues, and contribute to a positive work environment.
  • Collaborated with team members to accomplish production goals efficiently and effectively.

Call Center Representative at YDX AGENCIES (2022-05 – 2022-08)

  • Handled customer inquiry and complains; maintained customer records.
  • Promoted additional services to improve client satisfaction
  • Transferred data from physical documents to digital systems
  • Ensured timely and accurate data entry

Teacher at St. Sylvesters, Madiany (2020-01 – 2021-12)

  • Communicated with parents on students' progress.
  • Supervised students in out-of-classroom activities during the school day.
  • Enforced literacy skills like information literacy and technology literacy.
  • Developed lesson plans and instructional materials.
  • Provided individualized and small group instruction in order to adapt the curriculum to the needs of each student.
  • Translated lesson plans into learning experiences.

Education

Bachelor of Arts in History and International Relations – Egerton University (2021-01 – 2025-12)

Kenya Certificate of Secondary Education (KCSE) – St. Sylvester's Girls' High School (2017-01 – 2020-12)

Kenya Certificate of Primary Education (KCPE) – Inungo Primary School (2008-01 – 2016-12)

Skills

Billing/Claims officer

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