Claims and Billing Officer

• Deadline: April 11, 2025

Introduction

Nairobi Adventist Hospital (NAH) is a faith-based Seventh Day Adventist primary care hospital located in Nyari, Westlands, Nairobi County, Kenya. It provides quality, affordable, and wholesome healthcare services to its clients. To improve the services, the facility is seeking to recruit a qualified, competent, self-driven and compassionate individual for the position of Claims and Billing Officer.

Job Purpose

The main purpose of the job is to provide correct billing for patients under cash, private insurances and SHA/SHIF cover in an accurate and timely manner.

Key duties and responsibilities

• Prepare billing statements for insurance companies, cash and corporate patients and other third parties
• Review the discharge sheets for accuracy and completion to prepare billing statements
• Analyze invoices and data, prepare reports and respond to inquiries concerning billing activities
• Ensure pre-authorizations are done for corporate and SHA/SHIF clients
• Verify SHA/SHIF status and approvals and ensure biometrics capture as per procedure
• Update patients’ bills daily in coordination with other billing points within the hospital and other external partners
• Ensure that all services offered are billed/invoiced
• Update the corporate and cash payers on their bills daily or on-demand
• Carry out daily routine ward rounds to collect billing information and update the clients and patients
• Check insurance/corporate/ SHA/SHIF documents for authenticity and validity
• Establish payment arrangements with patients; monitor payments; following up with patients when payment lapses occur
• Discharge clients by processing their bills and issuing gate passes
• Prepare daily, weekly and monthly billing reports
• Post/process bills in the correct and relevant accounts in the system
• Prepare the physical corporate / SHA/SHIF invoices-claims and attach the relevant documents for dispatch within the agreed credit period
• Participate in stock take exercises
• Ensure safe custody of all documents/LOUs /Guarantee of Payments used in discharging Corporate clients
• Serve and protect the hospital’s image by adhering to professional standards, hospital policies and procedures
• Any other responsibility assigned to the jobholder by the supervisor from time to time
• Follow up with insurance companies, SHA/SHIF and other corporate players for timely payment of claims
• ETIMS: entering all corporate invoices in ETIMS, generating all receipts and filling them according to receipt number
• Any other relevant roles as may be assigned by the administration

Qualifications

• Degree or Diploma in Business Administration, Economics, Finance or other business-related fields from a recognized institution.
• Partial accounting qualification, i.e. CPA Part II or ACCA 2.
• Minimum of 4 years’ experience, with two years in a billing function in a busy health facility
• Must have experience in processing SHA/SHIF and insurance claims

Competencies

• Computer literacy,
• Accounting skills
• Attention to detail
• Customer relation skills
• Communication skills
• Negotiating skills

How To Apply

To apply, send your applications to:

[email protected].

You are required to attach a Cover letter, CV and copies of certificates.

These documents should be merged into one PDF document;

Addressed to: The Human Resources Manager

Nairobi Adventist Hospital

P.O. Box 41352-00100

Nairobi,

Quoting the position applied for as the subject line;

Application deadline:  Before 5 pm on 11^th April 2025

1. Educational Qualifications

• Diploma or Bachelor’s Degree in:
  • Accounting
  • Finance
  • Business Administration
  • Health Records and Information Management
  • Any other related field

2. Professional Certifications (Optional but Preferred)

• CPA (Certified Public Accountant) – at least CPA Part I or II
• ACCA (Association of Chartered Certified Accountants)
• CHRP (Certified Healthcare Revenue Professional)

3. Experience Requirements

• At least 4 years of experience in hospital billing, medical claims processing, or healthcare finance.
• Experience with SHIF and private insurance claims.
• Knowledge of hospital billing software and accounting systems.

4. Key Skills Required

• Strong knowledge of hospital billing procedures and insurance claims processing.
• Familiarity with SHIF and private insurance policies.
• Proficiency in Microsoft Office and hospital billing software.
• Excellent analytical and numerical skills.
• Strong communication and customer service skills.
• Ability to work under pressure and meet deadlines

• Click to apply