Pearl Hospital provides 24/7 Level 4 healthcare, combining outpatient and inpatient services with advanced imaging, maternity, oncology, fertility, surgical and wellness care. Our work is grounded in clear principles that emphasize quality, compassion and reliable service for every patient we serve.Location: Nyahururu Reporting to: Director Operations Pearl Hospital is seeking a practical, accurate and dependable Finance Officer to manage day-to-day accounting activities and support effective financial controls. This position requires someone who can execute consistently, meet deadlines and maintain complete financial records. Key responsibilities Record and review daily financial transactions. Perform bank, cash, supplier, debtor and general-ledger reconciliations. Reconcile hospital-system revenue, insurance claims and payments received. Monitor receivables and follow up outstanding insurer and corporate accounts. Process supplier invoices and prepare payment schedules. Support payroll preparation and reconciliation. Prepare monthly financial reports and month-end schedules. File VAT, PAYE, NSSF, SHIF, Housing Levy and other statutory returns. Maintain accurate fixed-asset, inventory and financial records. Prepare documentation and schedules for internal and external audits. Support departmental budgeting and expenditure monitoring. Identify transaction errors, revenue leakage and control weaknesses. Ensure compliance with hospital financial policies and approval procedures. Mandatory requirements Bachelor’s degree in Accounting, Finance, Commerce or a closely related field. CPA Part III, CPA Advanced Level or higher. Three to five years of hands-on accounting experience. Demonstrated experience in reconciliations, receivables, payables, payroll, taxation and financial reporting. Strong working knowledge of Microsoft Excel and accounting software. Practical knowledge of KRA iTax, eTIMS and statutory compliance. High level of accuracy, integrity, organisation and accountability. Ability to work independently and meet strict reporting deadlines. Added advantage Experience working in a hospital or other healthcare organisation. Experience with hospital billing, insurance claims and revenue-cycle reconciliation. Familiarity with hospital management or ERP systems.