Healthcare Billing and Claims Supervisor

Description

WE ARE HIRING

Monitor and achieve KPI targets for the team.
95% account sign-off by revenue.
<1% deduction rate.
Monitor timely submissions from unit + HQ + payer.
Ensure all visits are 'Smarted/LCT' and all documents uploaded on Slade.
Develop, maintain, and implement billing SOPs in alignment with payer requirements.
Provide regular training to team members and medical center staff on scheme changes and claims processes.
Ensure communication of pending and queried billings to insurers and relevant teams promptly.
Submit accurate and timely reports, including real-time system updates with IT teams.
Collaborate with operations, finance, and clinical teams to resolve claim disputes, rejections, and delayed payments.
Ensure timely statement generation and submission to insurers.
Lead initiatives to improve clean claim rates and reduce processing delays.
Any other duties assigned by the supervisor(s).

Job Requirements
Minimum Qualifications
Bachelor's degree in Finance, Accounting, Healthcare Administration, or related field.

Experience
Minimum 5 years' experience in healthcare billing and claims, with at least 2 years in a supervisory role.
Strong knowledge of medical billing systems (e.g., Slade, m-Tiba) and payer claim processes.
Experience in hospital or clinical revenue cycle management added advantage.

Applications to be sent to recruitment@blisshealthcare.co.ke clearly indicating the role applied for on the subject line of the email by Friday, 22nd August 2025.

Contact us: 0730 704 000
info@blisshealthcare.co.ke
www.blissmedicalcentre.com