Background

We are located in Kiambu County along Thika Super Highway in Ruiru town. Plainsview is one of the biggest nursing home in Kiambu county. We have served the community and beyond since 1999.

ROLE SUMMARY

Provide dedicated leadership of the Hospital's Revenue Cycle Unit, coordinating patient financial clearance, insurance verification, pre authorizations, claims documentation and payer communication to facilitate timely reimbursement, minimize claim rejections, strengthen revenue assurance and support continuity of patient care.

REQUIREMENT

• Lead daily operations of the Revenue Cycle function, coordinating Billing, Accounts Receivable and Case Management activities.
• Translate Finance Department objectives into work plans, task allocation and performance expectations for Revenue Cycle staff.
• Monitor pending bills, unbilled encounters, outstanding claims, debtor ageing, rejected claims and collection performance.
• Drive revenue assurance, ensuring all clinical and non-clinical services are accurately billed and captured.
• Review waivers, billing adjustments, credit notes and write-offs for compliance with Hospital policy and delegated authority. Coach, supervise and develop Billing Officers, Accounts Receivable Officers and Case Management Officers.
• Prepare and submit routine reports to the Chief Finance Officer on billing, collections and claims performance.

MINIMUM QUALIFICATIONS

Education Level: Bachelor's Degree in Finance, Accounting, Commerce, Business Administration or related field; CPA Part II

Years of Experience: Minimum 5 years' progressive experience in healthcare finance, revenue cycle management, medical billing or accounts receivable, including 2 years' supervisory experience.

Relevant Previous Roles: Revenue cycle management, medical billing, claims/accounts receivable, or healthcare finance leadership roles.

Any Other: ICPAK membership is an added advantage.

• Lead daily operations of the Revenue Cycle function, coordinating Billing, Accounts Receivable and Case Management activities.
• Translate Finance Department objectives into work plans, task allocation and performance expectations for Revenue Cycle staff.
• Monitor pending bills, unbilled encounters, outstanding claims, debtor ageing, rejected claims and collection performance.
• Drive revenue assurance, ensuring all clinical and non-clinical services are accurately billed and captured.
• Review waivers, billing adjustments, credit notes and write-offs for compliance with Hospital policy and delegated authority.
• Coach, supervise and develop Billing Officers, Accounts Receivable Officers and Case Management Officers.
• Prepare and submit routine reports to the Chief Finance Officer on billing, collections and claims performance.

• Leadership
• Revenue Cycle Management
• Billing
• Accounts Receivable
• Case Management Coordination
• Insurance Verification
• Pre-authorizations
• Claims Documentation
• Payer Communication
• Revenue Assurance
• Supervision
• Reporting

• Bachelor's Degree in Finance, Accounting, Commerce, Business Administration or related field
• CPA Part II
• Minimum 5 years' progressive experience in healthcare finance, revenue cycle management, medical billing or accounts receivable
• 2 years' supervisory experience
• ICPAK membership is an added advantage