Role Summary<\/p>\n
\tReporting to the Senior Manager \u2013 Credit Control, the Credit Controller coordinates all credit control operations for the assigned partner accounts within the credit portfolio through implementation of effective collection strategies and strong relationship management, and being accountable for the processing and submission of invoices, collection and allocation of payments, and reconciliation of accounts, as well as leading the credit team, enforcing compliance with credit policies, monitoring receivables and key performance indicators, which will help with sustaining optimal cash flow in alignment with the hospital\u2019s financial objectives and stewardship principles.<\/p>\n
Key Responsibilities<\/p>\n
Accounts Receivable Reporting<\/p>\n
\tEnsure that all insurance invoices are submitted to the payors within 7 days after an invoice was generated and 48 hours for all online submissions.
\n\tEnsure that all insurance statements are sent to the insurance and corporate partners by the 6th of every month.
\n\tEnsure accurate and timely submission of an aging report by 8th of every month clearing indicating the receivable days across all payors and across the overall debtors outstanding.
\n\tReconciliation reports for all payors should be sent to the Credit Control Manager by 15th of every month for review.
\n\tRejected claims reports for all signed off accounts should be shared with the Senior Manager Credit control at the end of every quarter for review and approvals.
\n\tPrepare periodic reports on collection trends, key account performance, and credit risk analysis for the assigned accounts.
\n\tSupport internal and external audits by providing requested credit documentation and reconciliations where necessary.<\/p>\n
Receivable Reconciliations<\/p>\n
\tAR Reconciliation Accuracy Rate\u00a0 of \u2265 99.5% accuracy in matching the receivable accounts, insurer statements, and AR sub-ledger balances, with less than 0.5%\u00a0 material variances.
\n\tAll accounts receivables should be reconciled monthly and all due invoices not paid should be paid within the next payment cycle if they do not have any underlying issues that delays their payment.
\n\tEnsure that the rejected claims are maintained at below 0.5% of the total outstanding during every sign off.
\n\tRejected claims review should be done on a monthly basis and reports of the same submitted to the Medical billing Manager for review by 15th of every month.
\n\tConduct quarterly sign offs for all assigned receivable accounts.
\n\tEnsure that over 90% of all identified underpayments and non Penda reconciled items are settled claims within 45 days of identification.<\/p>\n
SHA Receivables Management<\/p>\n
\tProvide technical system support on SHA billing processes in liaison with the Medical Billing Manager.
\n\tBuild and maintain strong working relationships with the Social Health Authority to support timely settlement of outstanding claims.
\n\tPrepare and maintain monthly SHA reports for all branches, highlighting variances between the Penda EMR records and actual submissions on the SHA portal.
\n\tEnsure timely submission of SHA revenue reports before 4th of every month.
\n\tFollow up on collections for amounts owed to Penda by the Social Health Insurance (SHA)<\/p>\n
Key requirements and attributes\u00a0<\/p>\n
\tAdvanced Diploma in Finance, Business Management, Insurance, or a related field, with progress toward or completion of a relevant professional certification (e.g., CPA III, ACCA, or equivalent).
\n\t4 years\u2019 experience in a busy credit department in a healthcare organization or medical claims underwriting in an insurance company.
\n\tExcellent interpersonal and communication skills.
\n\tSelf-motivated with ability to work well under pressure
\n\tTrack record in achieving financial reporting deadlines.
\n\tCapable of managing profitability and finding creative solutions addressing financial problems.
\n\tGood analytical, decision making and problem-solving skills.
\n\tA self-starter, with high energy level with strong interpersonal and communication skills.
\n\tStrong team player with a \u201croll up your sleeves and get the job done\u201d attitude.
\n\tExtremely detail-oriented, efficient, and able to multitask, prioritize, manage and follow projects through to completion.
\n\tMust have high standards of integrity, ethics, and confidentiality.
\n\tAbility to produce quality work with accuracy, efficiency and timeliness.<\/p>\n
Apply Through:<\/p>\n
pendahealth.applytojob.com<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","meta":{"_promoted":"","_job_location":"","_application":"http:\/\/pendahealth.applytojob.com","_company_name":"Penda Health","_company_website":"http:\/\/N%20\/%20A","_company_tagline":"Penda Health is an award-winning startup company that is transforming healthcare in East Africa by building a chain of outpatient health clinics that offer evidence-based medical care and unparalleled member experience at surprisingly affordable rates. Penda is ranked the Best Health Care Firm to... read more work for in Kenya and the #26 Best company to work in Kenya. More info is available at PendaHealth.com or Facebook: Penda Health.","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job_listing_region":[692],"job-categories":[723,693,701,1301],"job-types":[687],"class_list":{"0":"post-95810","1":"job_listing","2":"type-job_listing","3":"status-publish","4":"hentry","5":"job_listing_region-nairobi","7":"job-type-full-time"},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job-listings\/95810","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job-listings"}],"about":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/types\/job_listing"}],"author":[{"embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/users\/2"}],"wp:attachment":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/media?parent=95810"}],"wp:term":[{"taxonomy":"job_listing_region","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job_listing_region?post=95810"},{"taxonomy":"job_listing_category","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job-categories?post=95810"},{"taxonomy":"job_listing_type","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job-types?post=95810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}