Job Description

Valley Hospital is a leading Level 4 hospital in Nakuru City offering both inpatient and outpatient services. We are seeking to recruit a Claims Officer to join our Finance Department. 

This role is essential in ensuring timely and accurate preparation, submission, and follow-up of medical claims. The position supports the hospital’s revenue cycle by minimising claim rejections, reconciling payments, and maintaining proper documentation in compliance with payer and hospital policies. 

Requirements

Minimum Qualifications 

• Bachelor’s Degree in Insurance, Business Administration, Healthcare Management, Finance, or a related field. 
• Minimum of three (3) years’ experience in a similar role within a medium to large organization. 

 Skills Required 

• Strong understanding of medical claims procedures, billing, and coding
• Proficiency in claims management and hospital information systems
• Excellent attention to detail, accuracy, and documentation
• Analytical skills with the ability to resolve claim discrepancies
• Strong communication and coordination skills 

• Timely and accurate preparation, submission, and follow-up of medical claims.
• Minimising claim rejections.
• Reconciling payments.
• Maintaining proper documentation in compliance with payer and hospital policies.

• Strong understanding of medical claims procedures, billing, and coding
• Proficiency in claims management and hospital information systems
• Excellent attention to detail, accuracy, and documentation
• Analytical skills with the ability to resolve claim discrepancies
• Strong communication and coordination skills

• Bachelor’s Degree in Insurance, Business Administration, Healthcare Management, Finance, or a related field.
• Minimum of three (3) years’ experience in a similar role within a medium to large organization.