About Avenue Healthcare

Avenue Healthcare is one of the leading private healthcare groups in East Africa running 3 hospitals, 19 medical centers across Kenya, and a homecare business. With over 25 years in the healthcare industry, Avenue Healthcare operates 300 hospital beds with over 1,000 staff, more than 400 specialists, and serves over 400,000 patients annually—offering primary, secondary, and tertiary healthcare services.

Job Objective/Purpose

To ensure that all services rendered are billed appropriately per patient episode and that all requisite documentation is collated with invoices and claims forms before being processed for onward transmission to insurance companies.

Main Responsibilities

• Ensure that all services rendered are billed appropriately per patient per episode.
• Ensure all smart cards are run and invoices are signed by clients.
• Ensure bills are within set insurance limits and seek approval if they surpass the limits.
• Seek pre-authorizations from various insurance companies.
• Ensure patients are billed under the correct insurance schemes.
• Collect all claims forms from various departments and ensure sick sheets and relevant invoices are attached and complete (diagnosis, doctor’s and patient’s signature, stamped).
• Prepare and dispatch insurance and direct credit invoices to the accounts receivable team within stipulated deadlines.
• Ensure all OP bills are finalized in the hospital information system.
• File supporting documents.
• Maintain client/patient privacy and confidentiality at all times.

Corporate Governance:

• Carry out all activities ethically.
• Report any unethical behavior.

Quality Standards:

• Record and report all sentinel incidents/events within 24 hours using the provided tools (incident reporting book or incident reporting form where applicable).

• Ensure client satisfaction through quality service, communication, feedback, and escalation of unresolved issues to the respective line manager.
• Assist receptionists in their role when called upon.
• Perform any other duty assigned by the supervisor in line with the job description.

Key Deliverables

• Accurate billing.
• Timely finalization and dispatch of invoices.
• Proper documentation and records maintenance.

Academic and Professional Qualifications

• Diploma or Degree in Accounting, Finance, or a related field from a recognized institution.
• Professional certification such as CPA (from Part 2) or equivalent is an added advantage.
• At least 1–2 years of experience in an accounting role, preferably in a medical or healthcare facility.