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Job Summary

The Hospital Accountant plays a critical role in safeguarding the financial integrity and sustainability of the hospital. This position oversees budgeting, financial reporting, billing, compliance, and internal controls across the hospital’s clinical and administrative operations.

  • Minimum Qualification : Bachelors
  • Experience Level : Mid level
  • Experience Length : 3 years
  • Working Hours : Full Time

Job Description/Requirements

KEY ACCOUNTABILITIES

1. Financial Reporting & Records Management

  • Maintain up-to-date and accurate financial records across all revenue and expense categories.
  • Prepare monthly, quarterly, and annual financial statements in accordance with IFRS and relevant healthcare accounting standards.
  • Generate management reports to support data-driven decision-making.

2. Budgeting & Cost Control

  • Support the preparation of the hospital’s annual operating and capital budgets.
  • Monitor departmental expenditures and identify variances for corrective action.
  • Recommend cost-saving measures while maintaining service quality.

3. Revenue Cycle & Billing Oversight

  • Supervise billing processes to ensure accurate and timely invoicing of services to patients, insurers, and corporate clients.
  • Reconcile revenue between the billing system, accounts receivable, and bank deposits.
  • Collaborate with credit control and billing teams to manage receivables and claim follow-ups.

4. Payroll & Staff Compensation

  • Manage payroll preparation, ensuring compliance with statutory deductions and timely payment of salaries.
  • Maintain confidential employee records related to earnings, benefits, and leave balances.
  • Liaise with HR on payroll changes, new hires, and terminations.

5. Regulatory Compliance & Taxation

  • Ensure timely filing and remittance of statutory obligations (NHIF, NSSF, PAYE, VAT, etc.).
  • Support compliance with all financial and healthcare regulations set by KRA, Ministry of Health, and relevant bodies.
  • Assist in annual tax audits and statutory financial audits.

6. Internal Controls & Auditing

  • Implement and monitor internal financial controls to safeguard hospital assets and prevent fraud.
  • Maintain accurate documentation to support internal and external audits.
  • Support development of finance policies and ensure policy adherence.

7. Asset & Inventory Management

  • Maintain a fixed asset register and support physical asset verifications.
  • Work with the procurement and stores teams to track medical and non-medical inventory usage, reconciliation, and reporting.

 

QUALIFICATIONS & EXPERIENCE

  • Bachelor’s degree in Accounting, Finance, or a related field.
  • CPA (K), ACCA, or equivalent professional qualification.
  • Minimum of 3–5 years’ experience in accounting, preferably in a hospital, clinic, or medical insurance environment.
  • Proficient in accounting software (e.g., QuickBooks, Sage, Navision, or hospital ERP systems).
  • Working knowledge of hospital billing, revenue cycle, and insurance reconciliation.

 

KEY COMPETENCIES

  • Financial Accuracy & Integrity – Strong attention to detail and ethical responsibility in financial handling.
  • Analytical Thinking – Able to interpret financial data, spot trends, and support forecasting.
  • Time Management – Capable of managing multiple deadlines in a dynamic healthcare setting.
  • Communication Skills – Clear communicator, especially when engaging non-finance departments.
  • Confidentiality – Maintains discretion in handling payroll, payments, and sensitive transactions.
  • System Proficiency – Competent in Excel, financial reporting tools, and ERP-based systems.

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