Claims and Billing Officer Job in Kenya

 Job Title: Claims And Billing Officer

Hiring Organization: Nairobi Adventist Hospital
Location – Locality: Nairobi
Location – Region: Kenya
Industry: Healthcare
Job Type: Full Time
Salary: KES Competitive
Date Posted: 03/28/2024

Nairobi Adventist hospital, a level 4 Faith Based Hospital provides excellent employment opportunities to competent, diligent and ethical individuals. Our core mandate is to be a center of outreach through medical ministry in alignment with the mission of the Seventh Day Adventist Church. We aspire to emulate Christ through provision of compassionate holistic care as a way of demonstrating His love to a suffering world. As part of our strategic realignment, we believe that attracting and retaining the right people is essential to the realization of our facility goals and therefore must have in place right human resources.

Job Purpose

The main purpose of the job is to provide correct billing for patients under cash, insurance and NHIF 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 NHIF clients
  • Verify NHIF 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/ NHIF 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 / NHIF 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, NHIF 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


  • 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
  • Must have experience in processing NHIF and insurance claims


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

Click Here To Apply