Valley Hospital is a premier health facility located in Nakuru, offering diverse services with a mission to provide quality yet affordable healthcare. Key Responsibilities Billing & Claims Management Develop, implement, and enforce policies that ensure the accuracy and completeness of patient billing information Oversee timely submission of clean claims to insurance providers, corporates, and government schemes (including SHA) Investigate and resolve claim denials, underpayments, and billing errors, implementing corrective action to reduce recurrence Monitor billing error rates and drive continuous improvement towards industry benchmarks Insurance & Corporate Accounts Maintain and Manage relationships with insurance companies and corporate clients Negotiate and maintain up-to-date knowledge of payer contracts, fee schedules, and pre-authorisation requirements Liaise with payers to resolve disputes, verify eligibility, and follow up on payer commitments Team Leadership & Department Oversight Lead, supervise, and develop the revenue cycle team including billing staff, coders, and collections officers Set performance targets, conduct appraisals, and identify training needs Foster a culture of accuracy, accountability, and patient-centred service Metrics, Reporting & Analytics Track and report on key performance indicators including denial rates, first-pass resolution rates, clean claim rates, and admission/discharge turnaround times Prepare regular revenue cycle reports for the Finance Director and senior management Identify trends and recommend operational or policy changes to optimize revenue capture Process Improvement & Compliance Implement policy changes to reduce claim errors and shorten the revenue cycle Ensure compliance with healthcare billing regulations, insurance contractual obligations, and internal financial controls Collaborate with clinical, front-office, and finance teams to close gaps at the point of patient registration and discharge documentation Requirements Qualifications & Experience Diploma or BsC in Nursing, Bachelors degree in finance, Accounting, Health Information Management, or a related field 4–6 years of progressive experience in a hospital and/or insurance setting with at least 2 years in a supervisory capacity Strong working knowledge of insurance and care billing processes and relationship management Proficiency in Hospital/Health Management Information Systems (HMIS) and billing software Familiarity with SHA, private insurance and corporate care protocols. Key Competencies Analytical thinking and attention to detail Strong communication and negotiation skills Leadership and team development Process improvement orientation Financial acumen and understanding of healthcare operations