Billing Officer

ABOUT THE COMPANY

Oasis Healthcare Group Limited was conceptualized out of the need to harmonize the various companies and facilities existing across the country under the Oasis umbrella that have been in existence since 2010. In the wisdom of the founder members of all these outfits, there was need to synchronize the strategic direction, standard operating procedures, business processes, expansion programmes, style, systems and shared values among others. This was compounded by the need to have a centralized control or ‘command’ and harness on opportunities in the local as well as global arena through product differentiation and diversification together with capital sourcing. The Company is envisioned to a suitable regional ‘hub’ model.
OHGL subsidiaries are made up of skilled and dedicated health specialists, professionals, support staff, volunteers and physicians who promote wellness, prevent disease and injury, and provide healthcare every day to a diverse population in Kenya, especially those living in urban centres. OHGL is Kenya’s first and largest countrywide, fully-integrated private health system. The creation of OHGL supports consistent access to health services and standards and better coordination of services across the Kenya and beyond.

JOB SUMMARY

Job Qualifications & SkillsBachelor’s degree in Accounting, Finance, Business Administration, or a related field.CPA (Part II or above) or equivalent is an added advantage.Minimum of 2 years of experience in billing, accounts receivable, or hospital revenue cycle management.Strong understanding of insurance claim processing, reconciliation, and financial reporting.Proficiency in accounting software and Hospital Management Information Systems (HMIS).Excellent numerical, analytical, and problem-solving skills.Strong attention to detail and a high level of accuracy.Good communication and interpersonal skills.Ability to work under pressure and meet strict deadlines.High level of integrity and ability to handle confidential financial information.

RESPONSIBILITIES

Prepare accurate patient invoices for outpatient, inpatient, and specialized services in accordance with hospital tariffs and insurance agreements.Process insurance claims promptly and ensure proper documentation is attached before submission.Verify patient insurance details, benefits eligibility, and pre-authorizations before service provision where applicable.Reconcile daily billing reports with service departments (pharmacy, laboratory, radiology, theatre, etc.) to ensure completeness of revenue capture.Follow up on outstanding claims, rejected claims, and unpaid invoices to minimize revenue leakage.Identify billing discrepancies, investigate variances, and implement corrective measures.Maintain accurate financial records and ensure all billing transactions are properly posted in the hospital system.Generate daily, weekly, and monthly revenue reports for management review.Ensure compliance with insurance contract terms, regulatory guidelines, and hospital billing policies.Assist in preparing financial data required for audits and management reporting.Collaborate with the accounts department to support receivables tracking and account reconciliation.Address patient billing inquiries and complaints in a professional and timely manner.Support the implementation of internal controls to enhance billing accuracy and fraud prevention.Maintain confidentiality of patient financial information in compliance with data protection regulations.Participate in revenue cycle improvement initiatives to enhance efficiency and collection rates.

REQUIRED SKILLS

Invoicing, Accounting, Billing, Payment collection, Handling claims

REQUIRED EDUCATION

Bachelor's degree