Accountant(Hospital), medical
2025-12-02T04:49:29+00:00
Accurex
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https://www.accurex.co.ke/
FULL_TIME
Nairobi
Nairobi
00100
Kenya
Consulting
Accounting & Finance
2025-12-29T17:00:00+00:00
Kenya
8
ACCOUNTANT (HOSPITAL), MEDICAL
Job Description
Job Role
Role Summary
The Hospital Accountant provides comprehensive financial stewardship, revenue assurance, and compliance oversight across the hospital’s financial operations. The role ensures accuracy in patient revenue capture, disciplined financial controls, timely reconciliations, and transparency in financial reporting.
This position acts as the financial backbone of the hospital—maintaining compliant financial records, strengthening internal controls, and supporting clinical and administrative teams with accurate financial insights. By delivering reliable data, sound analysis, and strict governance, the Hospital Accountant contributes directly to operational sustainability, risk mitigation, and strategic decision-making.
Key Responsibilities
1. Financial Accounting & Reporting
- Oversee daily accounting operations, including payables, receivables, cash transactions, and reconciliations.
- Maintain general ledgers, journals, bank reconciliation schedules, and audit-ready documentation.
- Prepare and submit daily, weekly, monthly, and annual financial reports.
- Ensure completeness, accuracy, and timely posting of all financial transactions.
- Maintain orderly and compliant filing of financial records, patient revenue documents, journals, and vouchers.
2. Patient Revenue & Billing Management
- Reconcile inpatient and outpatient revenue between the hospital billing system and the finance system.
- Work with billing officers to confirm accuracy of visits, procedures, diagnostics, and pharmacy charges.
- Verify daily collections (cash, M-Pesa, card payments, insurance billing).
- Identify and resolve billing anomalies, revenue leakages, or documentation gaps.
- Maintain strict controls to ensure accurate and complete revenue recognition.
3. Insurance & NHIF Reconciliation
- Reconcile NHIF and private insurance payments, co-payments, rejections, and pending claims.
- Follow up on outstanding claims and ensure timely submission of monthly schedules.
- Accurately allocate insurer payments to patient accounts with full documentation.
- Maintain updated insurer ledgers for transparency, audit trail, and reporting.
- Identify claim discrepancies and support recovery processes.
4. Supplier Invoice Processing & Financial Controls
- Record supplier invoices and verify accuracy against LPOs, delivery notes, and GRNs.
- Prepare supplier account reconciliations and maintain updated ledgers.
- Develop payment schedules aligned with hospital cash flow.
- Ensure proper approvals, compliance, and verification of all supplier transactions.
- Support procurement and stores with costing, variance analysis, and stock valuation inputs.
5. Payroll & Statutory Compliance (Support Function)
- Validate monthly payroll inputs: overtime, shift allowances, deductions, and attendance.
- Assist in the preparation and submission of statutory deductions (PAYE, NSSF, SHIF, NITA, HELB).
- Support accurate posting of payroll expenses and related provisions.
- Ensure adherence to all financial, tax, and regulatory requirements.
6. Audit, Compliance & Internal Controls
- Enforce adherence to hospital finance SOPs, internal controls, and documentation standards.
- Prepare and provide auditors with required schedules and supporting documents.
- Identify financial risks, gaps, and control weaknesses; propose corrective actions.
- Support compliance with regulatory reporting requirements and internal audit processes.
7. Administrative Coordination & Operational Support
- Maintain organized filing and retrieval systems for financial documentation.
- Support month-end closing, variance reviews, and financial planning.
- Provide accurate financial data to management for budgeting, procurement planning, and decision-making.
- Perform any other financial duties as assigned by management.
Qualification
Qualifications
- Diploma or Bachelor’s Degree in Accounting, Finance, Business, or related field.
- CPA II/III (CPA Section 4–6) is strongly preferred.
- Experience in hospital accounting, healthcare billing, or medical finance is an added advantage.
- Proficiency in MS Excel and accounting software.
- Strong understanding of NHIF and private insurance claim processes.
Core Competencies
- Financial Management & Reporting Accuracy
- Patient Revenue & Insurance Reconciliation
- Cash Handling & Documentation Integrity
- Analytical Thinking & Problem-Solving
- Knowledge of Hospital Operations & Insurance Systems
- Compliance & Audit Preparedness
- Teamwork, Communication & Professional Conduct
- Confidentiality, Integrity & Accountability
Key Skills
Must have
Strategic Thinking Problem-solving Attention to detail Ability to prioritize tasks effectively
Financial Accounting & Reporting Oversee daily accounting operations, including payables, receivables, cash transactions, and reconciliations. Maintain general ledgers, journals, bank reconciliation schedules, and audit-ready documentation. Prepare and submit daily, weekly, monthly, and annual financial reports. Ensure completeness, accuracy, and timely posting of all financial transactions. Maintain orderly and compliant filing of financial records, patient revenue documents, journals, and vouchers. 2. Patient Revenue & Billing Management Reconcile inpatient and outpatient revenue between the hospital billing system and the finance system. Work with billing officers to confirm accuracy of visits, procedures, diagnostics, and pharmacy charges. Verify daily collections (cash, M-Pesa, card payments, insurance billing). Identify and resolve billing anomalies, revenue leakages, or documentation gaps. Maintain strict controls to ensure accurate and complete revenue recognition. 3. Insurance & NHIF Reconciliation Reconcile NHIF and private insurance payments, co-payments, rejections, and pending claims. Follow up on outstanding claims and ensure timely submission of monthly schedules. Accurately allocate insurer payments to patient accounts with full documentation. Maintain updated insurer ledgers for transparency, audit trail, and reporting. Identify claim discrepancies and support recovery processes. 4. Supplier Invoice Processing & Financial Controls Record supplier invoices and verify accuracy against LPOs, delivery notes, and GRNs. Prepare supplier account reconciliations and maintain updated ledgers. Develop payment schedules aligned with hospital cash flow. Ensure proper approvals, compliance, and verification of all supplier transactions. Support procurement and stores with costing, variance analysis, and stock valuation inputs. 5. Payroll & Statutory Compliance (Support Function) Validate monthly payroll inputs: overtime, shift allowances, deductions, and attendance. Assist in the preparation and submission of statutory deductions (PAYE, NSSF, SHIF, NITA, HELB). Support accurate posting of payroll expenses and related provisions. Ensure adherence to all financial, tax, and regulatory requirements. 6. Audit, Compliance & Internal Controls Enforce adherence to hospital finance SOPs, internal controls, and documentation standards. Prepare and provide auditors with required schedules and supporting documents. Identify financial risks, gaps, and control weaknesses; propose corrective actions. Support compliance with regulatory reporting requirements and internal audit processes. 7. Administrative Coordination & Operational Support Maintain organized filing and retrieval systems for financial documentation. Support month-end closing, variance reviews, and financial planning. Provide accurate financial data to management for budgeting, procurement planning, and decision-making. Perform any other financial duties as assigned by management.
Financial Management & Reporting Accuracy Patient Revenue & Insurance Reconciliation Cash Handling & Documentation Integrity Analytical Thinking & Problem-Solving Knowledge of Hospital Operations & Insurance Systems Compliance & Audit Preparedness Teamwork, Communication & Professional Conduct Confidentiality, Integrity & Accountability Key Skills Must have Strategic Thinking Problem-solving Attention to detail Ability to prioritize tasks effectively
Diploma or Bachelor’s Degree in Accounting, Finance, Business, or related field. CPA II/III (CPA Section 4–6) is strongly preferred. Experience in hospital accounting, healthcare billing, or medical finance is an added advantage. Proficiency in MS Excel and accounting software. Strong understanding of NHIF and private insurance claim processes.
JOB-692e6fd9c1d3a
Vacancy title:
Accountant(Hospital), medical
[Type: FULL_TIME, Industry: Consulting, Category: Accounting & Finance]
Jobs at:
Accurex
Deadline of this Job:
Monday, December 29 2025
Duty Station:
Nairobi | Nairobi | Kenya
Summary
Date Posted: Tuesday, December 2 2025, Base Salary: Not Disclosed
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JOB DETAILS:
ACCOUNTANT (HOSPITAL), MEDICAL
Job Description
Job Role
Role Summary
The Hospital Accountant provides comprehensive financial stewardship, revenue assurance, and compliance oversight across the hospital’s financial operations. The role ensures accuracy in patient revenue capture, disciplined financial controls, timely reconciliations, and transparency in financial reporting.
This position acts as the financial backbone of the hospital—maintaining compliant financial records, strengthening internal controls, and supporting clinical and administrative teams with accurate financial insights. By delivering reliable data, sound analysis, and strict governance, the Hospital Accountant contributes directly to operational sustainability, risk mitigation, and strategic decision-making.
Key Responsibilities
1. Financial Accounting & Reporting
- Oversee daily accounting operations, including payables, receivables, cash transactions, and reconciliations.
- Maintain general ledgers, journals, bank reconciliation schedules, and audit-ready documentation.
- Prepare and submit daily, weekly, monthly, and annual financial reports.
- Ensure completeness, accuracy, and timely posting of all financial transactions.
- Maintain orderly and compliant filing of financial records, patient revenue documents, journals, and vouchers.
2. Patient Revenue & Billing Management
- Reconcile inpatient and outpatient revenue between the hospital billing system and the finance system.
- Work with billing officers to confirm accuracy of visits, procedures, diagnostics, and pharmacy charges.
- Verify daily collections (cash, M-Pesa, card payments, insurance billing).
- Identify and resolve billing anomalies, revenue leakages, or documentation gaps.
- Maintain strict controls to ensure accurate and complete revenue recognition.
3. Insurance & NHIF Reconciliation
- Reconcile NHIF and private insurance payments, co-payments, rejections, and pending claims.
- Follow up on outstanding claims and ensure timely submission of monthly schedules.
- Accurately allocate insurer payments to patient accounts with full documentation.
- Maintain updated insurer ledgers for transparency, audit trail, and reporting.
- Identify claim discrepancies and support recovery processes.
4. Supplier Invoice Processing & Financial Controls
- Record supplier invoices and verify accuracy against LPOs, delivery notes, and GRNs.
- Prepare supplier account reconciliations and maintain updated ledgers.
- Develop payment schedules aligned with hospital cash flow.
- Ensure proper approvals, compliance, and verification of all supplier transactions.
- Support procurement and stores with costing, variance analysis, and stock valuation inputs.
5. Payroll & Statutory Compliance (Support Function)
- Validate monthly payroll inputs: overtime, shift allowances, deductions, and attendance.
- Assist in the preparation and submission of statutory deductions (PAYE, NSSF, SHIF, NITA, HELB).
- Support accurate posting of payroll expenses and related provisions.
- Ensure adherence to all financial, tax, and regulatory requirements.
6. Audit, Compliance & Internal Controls
- Enforce adherence to hospital finance SOPs, internal controls, and documentation standards.
- Prepare and provide auditors with required schedules and supporting documents.
- Identify financial risks, gaps, and control weaknesses; propose corrective actions.
- Support compliance with regulatory reporting requirements and internal audit processes.
7. Administrative Coordination & Operational Support
- Maintain organized filing and retrieval systems for financial documentation.
- Support month-end closing, variance reviews, and financial planning.
- Provide accurate financial data to management for budgeting, procurement planning, and decision-making.
- Perform any other financial duties as assigned by management.
Qualification
Qualifications
- Diploma or Bachelor’s Degree in Accounting, Finance, Business, or related field.
- CPA II/III (CPA Section 4–6) is strongly preferred.
- Experience in hospital accounting, healthcare billing, or medical finance is an added advantage.
- Proficiency in MS Excel and accounting software.
- Strong understanding of NHIF and private insurance claim processes.
Core Competencies
- Financial Management & Reporting Accuracy
- Patient Revenue & Insurance Reconciliation
- Cash Handling & Documentation Integrity
- Analytical Thinking & Problem-Solving
- Knowledge of Hospital Operations & Insurance Systems
- Compliance & Audit Preparedness
- Teamwork, Communication & Professional Conduct
- Confidentiality, Integrity & Accountability
Key Skills
Must have
Strategic Thinking Problem-solving Attention to detail Ability to prioritize tasks effectively
Work Hours: 8
Experience in Months: 48
Level of Education: bachelor degree
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