Synergy Clinics Billing & Claims Manager Jobs in Kenya;The successful candidate will provide strategic and operational leadership across the hospital’s billing and claims management cycleensuring accurate billing, timely claims submission, effective reconciliation, revenue assurance and improved claims conversion.Key Responsibilities
Synergy Clinics Billing & Claims Manager Jobs in Kenya;
Key Responsibilities
Lead hospital billing operations across outpatient, inpatient, theatre, pharmacy, laboratory, radiology and other services.
Strengthen billing accuracy and identify potential revenue leakages.
Oversee claims preparation, validation, submission and followup with HMOs, corporate clients and other payers.
Monitor claims ageing, rejected and queried claims, and drive corrective action.
Ensure compliance with payer requirements, contracts and healthcare financing regulations.
Reconcile services rendered, patient bills, claims submitted and approved claims.
Support payer audits and claims verification exercises.
Review rebates, writeoffs and credit adjustments.
Lead, coach and develop billing and claims team through clear KPIs, SOPs and accountability.Qualifications & Experience
Qualifications & Experience
Bachelor’s degree in Finance, Accounting, Business Administration, Health Records, Health Management or related.
Relevant professional qualification an advantage.
At least 7 years’ relevant experience, including 3+ years in supervisory/managerial role.
Proven experience in healthcare billing and claims management.
Strong understanding of hospital revenuecycle management.
Experience with EMR/HMIS, hospital information and billing systems.
Experience managing payer relationships and claims audits highly desirable.
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