Avenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare.
Read more about this company
Job Objective/ Purpose:
Manage the reception professionally at all times and ensure that all visitors, patients and clients are accorded timely, professional and compassionate service.
Key Responsibilities:
- Welcoming and assisting patients with Registration, completing necessary forms and documentation, as well as ensuring that all information acquired is accurate and current.
- Processing admissions and clearing the patient on discharge.
- Communicating with insurance companies for pre authorization, and to verify coverage for services provided by the hospital.
- Ensuring that all the procedures / systems laid down for vetting and ensuring that all clients seeking treatment are followed for the various categories of clients i.e. Staff, GOP’s , AHC prepaid and credit/ insurance clients.
- Ensure that all incoming telephone calls are directed or transferred to the respective departments/ offices.
- Ensure client satisfaction through quality of service, communication, feedback, escalation and caring attitude, and demonstrate follow-up.
- Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
- Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services and finance.
- Maintain patient privacy and confidentiality at all times.
- Any other duty as assigned by the supervisor.
Person Specification
- Diploma in Front Office/Business Administration/ Health Records, or its equivalent.
- 2+ years’ experience in a similar role, preferably in a Hospital set-up
- Customer focus and results oriented
- Strong interpersonal skills, team playing abilities, and communication skills.
- Highly responsive, ethical and responsible
go to method of application »
Job Objective/ Purpose:
Manage the reception professionally at all times and ensure that all visitors, patients and clients are accorded timely, professional and compassionate service.
Key Responsibilities:
- Welcoming and assisting patients with Registration, completing necessary forms and documentation, as well as ensuring that all information acquired is accurate and current.
- Processing admissions and clearing the patient on discharge.
- Communicating with insurance companies for pre authorization, and to verify coverage for services provided by the hospital.
- Ensuring that all the procedures / systems laid down for vetting and ensuring that all clients seeking treatment are followed for the various categories of clients i.e. Staff, GOP’s , AHC prepaid and credit/ insurance clients.
- Ensure that all incoming telephone calls are directed or transferred to the respective departments/ offices.
- Ensure client satisfaction through quality of service, communication, feedback, escalation and caring attitude, and demonstrate follow-up.
- Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
- Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services and finance.
- Maintain patient privacy and confidentiality at all times.
- Any other duty as assigned by the supervisor.
Person Specification
- Diploma in Front Office/Business Administration/ Health Records, or its equivalent.
- 2+ years’ experience in a similar role, preferably in a Hospital set-up
- Customer focus and results oriented
- Strong interpersonal skills, team playing abilities, and communication skills.
- Highly responsive, ethical and responsible
go to method of application »
Job Objective/ Purpose:
Manage the reception professionally at all times and ensure that all visitors, patients and clients are accorded timely, professional and compassionate service.
Key Responsibilities:
- Welcoming and assisting patients with Registration, completing necessary forms and documentation, as well as ensuring that all information acquired is accurate and current.
- Processing admissions and clearing the patient on discharge.
- Communicating with insurance companies for pre authorization, and to verify coverage for services provided by the hospital.
- Ensuring that all the procedures / systems laid down for vetting and ensuring that all clients seeking treatment are followed for the various categories of clients i.e. Staff, GOP’s , AHC prepaid and credit/ insurance clients.
- Ensure that all incoming telephone calls are directed or transferred to the respective departments/ offices.
- Ensure client satisfaction through quality of service, communication, feedback, escalation and caring attitude, and demonstrate follow-up.
- Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
- Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services and finance.
- Maintain patient privacy and confidentiality at all times.
- Any other duty as assigned by the supervisor.
Person Specification
- Diploma in Front Office/Business Administration/ Health Records, or its equivalent.
- 2+ years’ experience in a similar role, preferably in a Hospital set-up
- Customer focus and results oriented
- Strong interpersonal skills, team playing abilities, and communication skills.
- Highly responsive, ethical and responsible
go to method of application »
Job Objective/ Purpose:
Manage the reception professionally at all times and ensure that all visitors, patients and clients are accorded timely, professional and compassionate service.
Key Responsibilities:
- Welcoming and assisting patients with Registration, completing necessary forms and documentation, as well as ensuring that all information acquired is accurate and current.
- Processing admissions and clearing the patient on discharge.
- Communicating with insurance companies for pre authorization, and to verify coverage for services provided by the hospital.
- Ensuring that all the procedures / systems laid down for vetting and ensuring that all clients seeking treatment are followed for the various categories of clients i.e. Staff, GOP’s , AHC prepaid and credit/ insurance clients.
- Ensure that all incoming telephone calls are directed or transferred to the respective departments/ offices.
- Ensure client satisfaction through quality of service, communication, feedback, escalation and caring attitude, and demonstrate follow-up.
- Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
- Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services and finance.
- Maintain patient privacy and confidentiality at all times.
- Any other duty as assigned by the supervisor.
Person Specification
- Diploma in Front Office/Business Administration/ Health Records, or its equivalent.
- 2+ years’ experience in a similar role, preferably in a Hospital set-up
- Customer focus and results oriented
- Strong interpersonal skills, team playing abilities, and communication skills.
- Highly responsive, ethical and responsible
go to method of application »
Job Objective/ Purpose:
Manage the reception professionally at all times and ensure that all visitors, patients and clients are accorded timely, professional and compassionate service.
Key Responsibilities:
- Welcoming and assisting patients with Registration, completing necessary forms and documentation, as well as ensuring that all information acquired is accurate and current.
- Processing admissions and clearing the patient on discharge.
- Communicating with insurance companies for pre authorization, and to verify coverage for services provided by the hospital.
- Ensuring that all the procedures / systems laid down for vetting and ensuring that all clients seeking treatment are followed for the various categories of clients i.e. Staff, GOP’s , AHC prepaid and credit/ insurance clients.
- Ensure that all incoming telephone calls are directed or transferred to the respective departments/ offices.
- Ensure client satisfaction through quality of service, communication, feedback, escalation and caring attitude, and demonstrate follow-up.
- Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
- Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services and finance.
- Maintain patient privacy and confidentiality at all times.
- Any other duty as assigned by the supervisor.
Person Specification
- Diploma in Front Office/Business Administration/ Health Records, or its equivalent.
- 2+ years’ experience in a similar role, preferably in a Hospital set-up
- Customer focus and results oriented
- Strong interpersonal skills, team playing abilities, and communication skills.
- Highly responsive, ethical and responsible
go to method of application »
Job Objective/ Purpose:
Manage the reception professionally at all times and ensure that all visitors, patients and clients are accorded timely, professional and compassionate service.
Key Responsibilities:
- Welcoming and assisting patients with Registration, completing necessary forms and documentation, as well as ensuring that all information acquired is accurate and current.
- Processing admissions and clearing the patient on discharge.
- Communicating with insurance companies for pre authorization, and to verify coverage for services provided by the hospital.
- Ensuring that all the procedures / systems laid down for vetting and ensuring that all clients seeking treatment are followed for the various categories of clients i.e. Staff, GOP’s , AHC prepaid and credit/ insurance clients.
- Ensure that all incoming telephone calls are directed or transferred to the respective departments/ offices.
- Ensure client satisfaction through quality of service, communication, feedback, escalation and caring attitude, and demonstrate follow-up.
- Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
- Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services and finance.
- Maintain patient privacy and confidentiality at all times.
- Any other duty as assigned by the supervisor.
Person Specification
- Diploma in Front Office/Business Administration/ Health Records, or its equivalent.
- 2+ years’ experience in a similar role, preferably in a Hospital set-up
- Customer focus and results oriented
- Strong interpersonal skills, team playing abilities, and communication skills.
- Highly responsive, ethical and responsible
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
To support the claims process by preparing and verifying claim documents and assisting with patient billing issues. The role focuses on ensuring documentation is complete for timely claims submission and preventing rejections.
Key Responsibilities:
Claims Documentation & Support
- Obtain and verify pre-authorizations for insured patients before billing.
- Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
- Check for consistency across patient charts, invoices, and claim attachments.
Invoice Preparation & Submission
- Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
- Match invoices to corresponding authorization codes and patient service records.
- Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.
Reconciliation & Billing Follow-Up
- Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
- Assist in reconciling billed amounts with insurer remittances or SHA statements.
- Log rejections and errors for trend analysis and continuous improvement reporting.
Patient & Interdepartmental Liaison
- Respond to patient billing queries with professionalism and accuracy.
- Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
- Alert relevant departments of billing or claim anomalies requiring correction.
Data Management & Compliance
- File and organize claim documents in line with internal filing protocols (digital and physical).
- Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
- Update claim and invoice trackers to support real-time reporting.
Reporting & Administrative Support
- Generate basic reports on daily claims submitted, claims pending, and invoice status.
- Assist in updating SOP manuals or process checklists as needed.
- Support preparation for internal audits or insurer reviews by locating and compiling required documentation.
Continuous Learning & Systems Use
- Stay updated on SHA and private insurer billing requirements.
- Participate in internal training on claims, invoicing, and accounting systems.
- Contribute ideas for improving claims turnaround and documentation accuracy.
Support the revenue cycle team with ad hoc tasks aligned with the role’s scope.
Any other duties as may be assigned by the supervisor
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Diploma in Accounts, Business Administration, Health Records, , or a related field.
Desirable
- CPA training is desirable
Work Experience & Skills
Essential
- Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
- To ensure accurate and complete documentation for insurance and direct credit outpatient (OP) claims, minimize payer rejections, and enhance revenue assurance at the point of service through effective coordination between the reception, medical, and credit teams.
Main Responsibilities
Claims Documentation & Assurance
- Verify completeness and accuracy of insurance documentation prior to service delivery.
- Ensure insurance and patient details are correctly entered in the system.
- Validate pre-authorizations, NHIF codes, QR codes, diagnosis, and required claim attachments.
Front Office Oversight
- Supervise client service teams to ensure compliance with billing and documentation SOPs.
- Conduct ongoing training on insurance procedures, documentation standards, and system updates.
Rejection Prevention
- Analyze claim rejection trends and address root causes.
- Identify high-risk claims and escalate incomplete or inconsistent documentation for immediate resolution.
Interdepartmental Coordination
- Act as liaison between clinical, reception, and finance departments to ensure seamless documentation flow.
- Coordinate with insurance providers for clarifications or additional documentation needs.
Reporting & Audit
- Prepare daily and weekly reports on documentation compliance, rejection metrics, and flagged claims.
- Support internal audits and help implement corrective action plans to improve claims quality.
Financial & Operational Oversight
- Monitor invoicing reports, banking transactions, and Oracle purchases.
- Assist in cost optimization initiatives and ensure inventory accuracy.
Customer Experience
- Resolve patient concerns regarding billing and documentation professionally.
- Support a patient-first approach by ensuring clarity and transparency in the billing process.
- Perform any additional duties as assigned by management to support the revenue assurance function.
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Higher Diploma or Diploma in Health Records, Business Administration, or a related field.
Desirable
- CPA, ACCA, Diploma in accounting or any other relevant training in accounting, relevant bachelor’s degree, or a related field.
Work Experience & Skills
Essential
- Minimum 3 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
go to method of application »
Main Purpose of the Job- (Job Summary)
- To ensure accurate and complete documentation for insurance and direct credit outpatient (OP) claims, minimize payer rejections, and enhance revenue assurance at the point of service through effective coordination between the reception, medical, and credit teams.
Main Responsibilities
Claims Documentation & Assurance
- Verify completeness and accuracy of insurance documentation prior to service delivery.
- Ensure insurance and patient details are correctly entered in the system.
- Validate pre-authorizations, NHIF codes, QR codes, diagnosis, and required claim attachments.
Front Office Oversight
- Supervise client service teams to ensure compliance with billing and documentation SOPs.
- Conduct ongoing training on insurance procedures, documentation standards, and system updates.
Rejection Prevention
- Analyze claim rejection trends and address root causes.
- Identify high-risk claims and escalate incomplete or inconsistent documentation for immediate resolution.
Interdepartmental Coordination
- Act as liaison between clinical, reception, and finance departments to ensure seamless documentation flow.
- Coordinate with insurance providers for clarifications or additional documentation needs.
Reporting & Audit
- Prepare daily and weekly reports on documentation compliance, rejection metrics, and flagged claims.
- Support internal audits and help implement corrective action plans to improve claims quality.
Financial & Operational Oversight
- Monitor invoicing reports, banking transactions, and Oracle purchases.
- Assist in cost optimization initiatives and ensure inventory accuracy.
Customer Experience
- Resolve patient concerns regarding billing and documentation professionally.
- Support a patient-first approach by ensuring clarity and transparency in the billing process.
- Perform any additional duties as assigned by management to support the revenue assurance function.
Key Deliverables of this position
- 100% accuracy and completeness of insurance and credit documentation before delivery of service.
- Reduction in claim rejections through proactive documentation checks and SOP compliance.
- Effective coordination across departments to ensure timely claims submission and revenue assurance.
Essential
- Higher Diploma or Diploma in Health Records, Business Administration, or a related field.
Desirable
- CPA, ACCA, Diploma in accounting or any other relevant training in accounting, relevant bachelor’s degree, or a related field.
Work Experience & Skills
Essential
- Minimum 3 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.
Desirable
- Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).
Key Competencies
Essential
- Knowledge of medical billing software and EMR systems
- Strong attention to detail and accuracy
- Problem-solving and critical thinking abilities
- Excellent communication and interpersonal skills
Desirable
- Ability to work in a fast-paced environment and under pressure
Method of Application
Use the link(s) below to apply on company website.
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