Avenue Healthcare Hiring Inpatient Billing Nurse

Position : Inpatient Billing Nurse

Overview

Avenue Healthcare is one of the leading private healthcare groups in East Africa running 3 Hospitals, and 13 clinics across Kenya, and a Homecare business. With over 25 years in the healthcare industry, Avenue Healthcare runs 300 hospital beds with over 1,000 staff members, and more than 400 specialists and serves over 400,000 patients annually, offering primary, secondary, and tertiary.

Job Objective/Purpose

To ensure accurate and complete billing of inpatient services in accordance with Avenue Healthcare’s defined policies, procedures, standards and strategies

• Key Responsibilities
  • Daily review of patients’ billing statements, including alldischarged patients, for accuracy and completion prior tofinalization of the invoices.
  • Ensure services noted in the patient’s chart are billed andclarify any other services rendered with attendingclinicians.
  • Resolve incoming queries on billing from patients,insurance companies, consultants or colleagues in aprofessional and efficient manner.
  • Provide billing information by collecting, analyzing, andsummarizing third-party billings, accounts pending, andlate charges data and trends.
  • Prepare billing statements for insurance companies,patients and other third parties.
  • Prepare reports and respond to inquiries concerningbilling activities.
  • Participate in audits, service evaluations and processreviews to enhance the delivery of billing service tocustomers/stakeholders.
  • Ensure all patient encounters and procedures are postedcorrectly with the current ICD and CPT codes.
  • Client satisfaction (patient, consultants andothers)-
  • Ensure client satisfaction through optimal qualityof care, effective communication, timelyfeedback and escalation of unresolved issues.
  • Oversee the Education of staff, includingorientation and Training to ensure performanceimprovement on patient billing.
  • Ensure that Avenue Healthcare corporategovernance policies are adhered to, includingpreventing, detecting, and reporting any fraud orcriminal activities, and Implementing auditrecommendations.
  • Ensure adequate knowledge of, and complianceto all Avenue Healthcare policies, procedures,and systems, especially policies pertaining to theprovision of medical services.
  • Any other duty as assigned by the supervisor inline with the job description.
• Personal Specifications
  • Diploma in Nursing (KRCHN) or BsN 
  • A valid Nursing License from NCK
  • Finance Training (CPA III) highly desirable
  • 1+ years nursing experience and 2+ years’ experience in a similar role, preferably in a Hospital set-up
  • Customer focus
  • Strong interpersonal skills, team playing abilities, and communication skills.
  • Highly responsive, ethical and responsible

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