JOB TITLE

 

BILLING OFFICER

NATURE OF JOB

FULL TIME

INDUSTRY

HOSPITAL

SALARY

KSHS.50,000-60,000

JOB LOCATION

EMBU

 

DUTIES AND RESPONSIBILITIES

Patient Billing & Invoicing

  • Generate accurate invoices for all patient services including consultation, lab tests, imaging, surgery, medication, and ward charges.
  • Confirm patient insurance status and coverage before billing.
  • Work closely with reception, nursing, pharmacy, and clinical departments to ensure all billable services are captured correctly in the hospital management system.

Claims Management (NHIF/SHA/Private Insurers)

  • Prepare and submit claims to NHIF, SHA, and insurance companies in the prescribed formats and timelines.
  • Verify patient eligibility and benefits before submission of claims.
  • Attach all necessary documentation, including patient records, prescription notes, treatment summaries, and consent forms, to claims.

Reconciliation and Follow-up

  • Track submitted claims and ensure timely payment.
  • Investigate and resolve unpaid, denied, or rejected claims by liaising with insurers, NHIF/SHA, and internal departments.
  • Reconcile remittances received from NHIF/SHA/insurance against submitted claims to identify variances.

Patient and Insurer Liaison

  • Respond to patient inquiries regarding billing, insurance coverage, and outstanding balances.
  • Communicate with insurance providers and NHIF/SHA offices to resolve claim discrepancies.
  • Provide preauthorization support where required for procedures or admissions.

Reporting and Documentation

  • Prepare daily, weekly, and monthly billing and collection reports for hospital management.
  • Maintain comprehensive and organized billing records in accordance with hospital and regulatory requirements.
  • Assist in audits by providing billing records and explanations as needed.

Compliance and Quality Assurance

  • Ensure billing practices comply with hospital policies, NHIF/SHA regulations, and insurance agreements.
  • Regularly update knowledge on NHIF/SHA changes and ensure hospital billing aligns with the latest policies.
  • Identify and report any fraudulent or irregular billing activity.

KEY REQUIREMENT SKILLS AND QUALIFICATION

  • Diploma or Bachelor’s Degree in Accounting, Finance, Business Administration, Health Records and Information, or a related field
  • Minimum 2–3 years of working experience in hospital billing or in a health insurance company, specifically handling NHIF and insurance claims
  • Proficient in using hospital management systems (e.g. Smart HIMS, AfyaPro, Med360, etc.)
  • Deep understanding of Kenya’s health insurance landscape, including NHIF, SHA, and private insurers
  • Knowledge of medical terminology, procedures, and diagnosis codes (ICD-10) is a strong advantage

 

HOW TO APPLY

  • If you meet the above qualifications, skills and experience share CV on This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Interviews will be carried out on a rolling basis until the position is filled.
  • Only the shortlisted candidates will be contacted.