Fresh Jobs at Valley Hospital

Key Responsibilities

Billing & Claims Management

• Develop, implement, and enforce policies that ensure the accuracy and completeness of patient billing information
• Oversee timely submission of clean claims to insurance providers, corporates, and government schemes (including SHA)
• Investigate and resolve claim denials, underpayments, and billing errors, implementing corrective action to reduce recurrence
• Monitor billing error rates and drive continuous improvement towards industry benchmarks

Insurance & Corporate Accounts

• Maintain and Manage relationships with insurance companies and corporate clients
• Negotiate and maintain up-to-date knowledge of payer contracts, fee schedules, and pre-authorisation requirements
• Liaise with payers to resolve disputes, verify eligibility, and follow up on payer commitments

Team Leadership & Department Oversight

• Lead, supervise, and develop the revenue cycle team including billing staff, coders, and collections officers
• Set performance targets, conduct appraisals, and identify training needs
• Foster a culture of accuracy, accountability, and patient-centred service

Metrics, Reporting & Analytics

• Track and report on key performance indicators including denial rates, first-pass resolution rates, clean claim rates, and admission/discharge turnaround times
• Prepare regular revenue cycle reports for the Finance Director and senior management
• Identify trends and recommend operational or policy changes to optimize revenue capture

Process Improvement & Compliance

• Implement policy changes to reduce claim errors and shorten the revenue cycle
• Ensure compliance with healthcare billing regulations, insurance contractual obligations, and internal financial controls
• Collaborate with clinical, front-office, and finance teams to close gaps at the point of patient registration and discharge documentation

Requirements

Qualifications & Experience

• Diploma or BsC in Nursing, Bachelors degree in finance, Accounting, Health Information Management, or a related field
• 4–6 years of progressive experience in a hospital and/or insurance setting with at least 2 years in a supervisory capacity
• Strong working knowledge of insurance and care billing processes and relationship management
• Proficiency in Hospital/Health Management Information Systems (HMIS) and billing software
• Familiarity with SHA, private insurance and corporate care protocols.

Key Competencies

• Analytical thinking and attention to detail
• Strong communication and negotiation skills
• Leadership and team development
• Process improvement orientation
• Financial acumen and understanding of healthcare operations

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This role is responsible for overseeing and enhancing the overall patient experience throughout the patient journey by leading customer service teams, strengthening service delivery standards, resolving patient concerns, and implementing strategies that improve patient satisfaction and engagement. The Customer Experience Manager will also ensure effective communication and coordination between patients, hospital staff, insurance partners, and other stakeholders. 

Key Competencies 

• Excellent verbal and written communication skills. 
• Strong leadership, coaching, and team management abilities. 
• High emotional intelligence, empathy, and professionalism. 
• Strong problem-solving and conflict resolution skills. 
• Ability to analyze patient feedback and implement service improvement strategies. 
• Strong organizational and decision-making abilities. 
• Ability to work collaboratively with multidisciplinary teams and external stakeholders.

Requirements

Minimum Qualifications 

• Bachelor's Degree in Healthcare Management, Business Administration, Communications, or a related field. 
• Minimum five (5) years’ relevant experience, with at least two (2) years in a leadership role in an organization of similar size. 
• Strong understanding of customer service principles, patient engagement, and service recovery processes. 
• Knowledge of hospital operations, patient care workflows, and healthcare compliance standards. 

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Requirements

Minimum Qualifications 

• Kenya Registered Community Health Nurse (KRCHN)
• Minimum of  4 years' nursing experience, with at least 1 year in a leadership or team lead role in a similar setting 
• Must be registered with the Nursing Council of Kenya and hold a valid Practicing License 
• Valid BLS and ACLS certifications 

Key Competencies 

• Leadership: Strong ability to lead, inspire, and support a multidisciplinary team 
• Communication: Excellent written and verbal communication skills 
• Clinical Competence: Sound understanding of nursing practices and patient care protocols 
• Problem-Solving: Effective in resolving conflicts and making informed decisions 
• IT Proficiency: Comfortable with digital documentation and hospital systems 
• Organization & Attention to Detail: Ability to multitask while maintaining accuracy 
• Adaptability: Thrives in a fast-paced, dynamic healthcare environment