Jobs at Avenue Healthcare

Avenue Group was established as a small nursing home in Nairobi in 1976 and growing over the years to become one of the biggest players in the secondary healthcare market with a network of 3 fully fledged Hospitals and 16 primary care Medical Centres. Jobs at Avenue Healthcare

Avenue Healthcare Careers

1. Receptionist – Buruburu
2. Receptionist – Eldoret
3. Receptionist – Kikuyu
4. Receptionist – Langata
5. Receptionist – Ongata Rongai
6. Receptionist – Garden City
7. Receptionist – Green Span
8. Receptionist – Junction
9. Claims Assurance Assistant – Buruburu
10. Claims Assurance Assistant – Eldoret
11. Claims Assurance Assistant – Embakasi
12. Claims Assurance Assistant – Garden City
13. Claims Assurance Assistant – Green Span
14. Claims Assurance Assistant – Junction
15. Claims Assurance Assistant – Kakamega
16. Claims Assurance Assistant – Kikuyu
17. Claims Assurance Assistant – Kisumu
18. Claims Assurance Assistant – Langata
19. Claims Assurance Assistant – Mombasa
20. Claims Assurance Assistant – Nakuru
21. Claims Assurance Assistant – Ongata Rongai Town
22. Claims Assurance Officer – Embakasi
23. Claims Assurance Officer – Garden City
24. Claims Assurance Officer – Green Span
25. Claims Assurance Officer – Junction
26. Claims Assurance Officer – Kakamega Town

Receptionist – Garden City

Jobs at Avenue Healthcare

Receptionist – Buruburu

Jobs at Avenue Healthcare

Receptionist – Eldoret

Jobs at Avenue Healthcare

Receptionist – Kikuyu

Jobs at Avenue Healthcare

Receptionist – Langata

Jobs at Avenue Healthcare

Receptionist – Ongata Rongai

Jobs at Avenue Healthcare

Receptionist – Green Span

Jobs at Avenue Healthcare

Receptionist – Junction

Jobs at Avenue Healthcare

Claims Assurance Assistant – Buruburu

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Eldoret

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Embakasi

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Garden City

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Green Span

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Junction

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Kakamega

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Kikuyu

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Kisumu

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Langata

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Mombasa

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Nakuru

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Assistant – Ongata Rongai Town

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Support

• Obtain and verify pre-authorizations for insured patients before billing.
• Ensure claim forms are complete — including diagnosis, doctor’s notes/signatures, QR codes, and patient details.
• Check for consistency across patient charts, invoices, and claim attachments.

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices in the billing system for cash, credit, and insurance patients.
• Match invoices to corresponding authorization codes and patient service records.
• Prepare claims for submission (physical and digital) and ensure daily dispatch logs are updated.

Reconciliation & Billing Follow-Up

• Track and follow up on claims pending due to exceeded limits, missing documentation, or rejections.
• Assist in reconciling billed amounts with insurer remittances or SHA statements.
• Log rejections and errors for trend analysis and continuous improvement reporting.

Patient & Interdepartmental Liaison

• Respond to patient billing queries with professionalism and accuracy.
• Liaise with clinical, front office, and finance teams to clarify service dates, diagnosis codes, or authorization needs.
• Alert relevant departments of billing or claim anomalies requiring correction.

Data Management & Compliance

• File and organize claim documents in line with internal filing protocols (digital and physical).
• Ensure compliance with patient data privacy laws (e.g., Data Protection Act, 2019).
• Update claim and invoice trackers to support real-time reporting.

Reporting & Administrative Support

• Generate basic reports on daily claims submitted, claims pending, and invoice status
• Assist in updating SOP manuals or process checklists as needed.
• Support preparation for internal audits or insurer reviews by locating and compiling required documentation.

Continuous Learning & Systems Use

• Stay updated on SHA and private insurer billing requirements.
• Participate in internal training on claims, invoicing, and accounting systems.
• Contribute ideas for improving claims turnaround and documentation accuracy.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

Essential

• Diploma in Accounts, Business Administration, Health Records, , or a related field.

Desirable

• CPA training is desirable

• Minimum 1-2 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

Desirable

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Officer – Embakasi

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Assurance

• Verify the completeness and accuracy of insurance documentation prior to service delivery.
• Ensure insurance and patient details are correctly entered in the system.
• Validate pre-authorizations, NHIF codes, QR codes, diagnosis, and required claim attachments.

Front Office Oversight

• Supervise client service teams to ensure compliance with billing and documentation SOPs.
• Conduct ongoing training on insurance procedures, documentation standards, and system updates.

Rejection Prevention

• Analyze claim rejection trends and address root causes.
• Identify high-risk claims and escalate incomplete or inconsistent documentation for immediate resolution.

Interdepartmental Coordination

• Act as liaison between clinical, reception, and finance departments to ensure seamless documentation flow.
• Coordinate with insurance providers for clarifications or additional documentation needs.

Reporting & Audit

• Prepare daily and weekly reports on documentation compliance, rejection metrics, and flagged claims.
• Support internal audits and help implement corrective action plans to improve claims quality.

Financial & Operational Oversight

• Monitor invoicing reports, banking transactions, and Oracle purchases.
• Assist in cost optimization initiatives and ensure inventory accuracy.

Customer Experience

• Resolve patient concerns regarding billing and documentation professionally.
• Support a patient-first approach by ensuring clarity and transparency in the billing process.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

• Higher Diploma or Diploma in Health Records, Business Administration, or a related field.

• CPA, ACCA, Diploma in accounting, or any other relevant training in accounting, a relevant bachelor’s degree, or a related field.

• Minimum 3 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Officer – Garden City

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Assurance

• Verify the completeness and accuracy of insurance documentation prior to service delivery.
• Ensure insurance and patient details are correctly entered in the system.
• Validate pre-authorizations, NHIF codes, QR codes, diagnosis, and required claim attachments.

Front Office Oversight

• Supervise client service teams to ensure compliance with billing and documentation SOPs.
• Conduct ongoing training on insurance procedures, documentation standards, and system updates.

Rejection Prevention

• Analyze claim rejection trends and address root causes.
• Identify high-risk claims and escalate incomplete or inconsistent documentation for immediate resolution.

Interdepartmental Coordination

• Act as liaison between clinical, reception, and finance departments to ensure seamless documentation flow.
• Coordinate with insurance providers for clarifications or additional documentation needs.

Reporting & Audit

• Prepare daily and weekly reports on documentation compliance, rejection metrics, and flagged claims.
• Support internal audits and help implement corrective action plans to improve claims quality.

Financial & Operational Oversight

• Monitor invoicing reports, banking transactions, and Oracle purchases.
• Assist in cost optimization initiatives and ensure inventory accuracy.

Customer Experience

• Resolve patient concerns regarding billing and documentation professionally.
• Support a patient-first approach by ensuring clarity and transparency in the billing process.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

• Higher Diploma or Diploma in Health Records, Business Administration, or a related field.

• CPA, ACCA, Diploma in accounting, or any other relevant training in accounting, a relevant bachelor’s degree, or a related field.

• Minimum 3 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Officer – Green Span

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Assurance

• Verify the completeness and accuracy of insurance documentation prior to service delivery.
• Ensure insurance and patient details are correctly entered in the system.
• Validate pre-authorizations, NHIF codes, QR codes, diagnosis, and required claim attachments.

Front Office Oversight

• Supervise client service teams to ensure compliance with billing and documentation SOPs.
• Conduct ongoing training on insurance procedures, documentation standards, and system updates.

Rejection Prevention

• Analyze claim rejection trends and address root causes.
• Identify high-risk claims and escalate incomplete or inconsistent documentation for immediate resolution.

Interdepartmental Coordination

• Act as liaison between clinical, reception, and finance departments to ensure seamless documentation flow.
• Coordinate with insurance providers for clarifications or additional documentation needs.

Reporting & Audit

• Prepare daily and weekly reports on documentation compliance, rejection metrics, and flagged claims.
• Support internal audits and help implement corrective action plans to improve claims quality.

Financial & Operational Oversight

• Monitor invoicing reports, banking transactions, and Oracle purchases.
• Assist in cost optimization initiatives and ensure inventory accuracy.

Customer Experience

• Resolve patient concerns regarding billing and documentation professionally.
• Support a patient-first approach by ensuring clarity and transparency in the billing process.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

• Higher Diploma or Diploma in Health Records, Business Administration, or a related field.

• CPA, ACCA, Diploma in accounting, or any other relevant training in accounting, a relevant bachelor’s degree, or a related field.

• Minimum 3 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Officer – Junction

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Assurance

• Verify the completeness and accuracy of insurance documentation prior to service delivery.
• Ensure insurance and patient details are correctly entered in the system.
• Validate pre-authorizations, NHIF codes, QR codes, diagnosis, and required claim attachments.

Front Office Oversight

• Supervise client service teams to ensure compliance with billing and documentation SOPs.
• Conduct ongoing training on insurance procedures, documentation standards, and system updates.

Rejection Prevention

• Analyze claim rejection trends and address root causes.
• Identify high-risk claims and escalate incomplete or inconsistent documentation for immediate resolution.

Interdepartmental Coordination

• Act as liaison between clinical, reception, and finance departments to ensure seamless documentation flow.
• Coordinate with insurance providers for clarifications or additional documentation needs.

Reporting & Audit

• Prepare daily and weekly reports on documentation compliance, rejection metrics, and flagged claims.
• Support internal audits and help implement corrective action plans to improve claims quality.

Financial & Operational Oversight

• Monitor invoicing reports, banking transactions, and Oracle purchases.
• Assist in cost optimization initiatives and ensure inventory accuracy.

Customer Experience

• Resolve patient concerns regarding billing and documentation professionally.
• Support a patient-first approach by ensuring clarity and transparency in the billing process.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

• Higher Diploma or Diploma in Health Records, Business Administration, or a related field.

• CPA, ACCA, Diploma in accounting, or any other relevant training in accounting, a relevant bachelor’s degree, or a related field.

• Minimum 3 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

Claims Assurance Officer – Kakamega Town

Jobs at Avenue Healthcare

Main Purpose of the Job- (Job Summary)

Claims Documentation & Assurance

• Verify the completeness and accuracy of insurance documentation prior to service delivery.
• Ensure insurance and patient details are correctly entered in the system.
• Validate pre-authorizations, NHIF codes, QR codes, diagnosis, and required claim attachments.

Front Office Oversight

• Supervise client service teams to ensure compliance with billing and documentation SOPs.
• Conduct ongoing training on insurance procedures, documentation standards, and system updates.

Rejection Prevention

• Analyze claim rejection trends and address root causes.
• Identify high-risk claims and escalate incomplete or inconsistent documentation for immediate resolution.

Interdepartmental Coordination

• Act as liaison between clinical, reception, and finance departments to ensure seamless documentation flow.
• Coordinate with insurance providers for clarifications or additional documentation needs.

Reporting & Audit

• Prepare daily and weekly reports on documentation compliance, rejection metrics, and flagged claims.
• Support internal audits and help implement corrective action plans to improve claims quality.

Financial & Operational Oversight

• Monitor invoicing reports, banking transactions, and Oracle purchases.
• Assist in cost optimization initiatives and ensure inventory accuracy.

Customer Experience

• Resolve patient concerns regarding billing and documentation professionally.
• Support a patient-first approach by ensuring clarity and transparency in the billing process.

Key Deliverables of this position

• 100% accuracy and completeness of insurance and credit documentation before delivery of service.
• Reduction in claim rejections through proactive documentation checks and SOP compliance.
• Effective coordination across departments to ensure timely claims submission and revenue assurance.

• Higher Diploma or Diploma in Health Records, Business Administration, or a related field.

• CPA, ACCA, Diploma in accounting, or any other relevant training in accounting, a relevant bachelor’s degree, or a related field.

• Minimum 3 years of experience in a medical billing/revenue cycle role, preferably in a hospital or insurance setting.

• Knowledge of medical insurance procedures in Kenya (including SHA/SHIF, private insurance payers, etc.).

• Knowledge of medical billing software and EMR systems
• Strong attention to detail and accuracy
• Problem-solving and critical thinking abilities
• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and under pressure

• Receptionist – Buruburu
• Receptionist – Eldoret
• Receptionist – Kikuyu
• Receptionist – Langata
• Receptionist – Ongata Rongai 
• Receptionist – Garden City
• Receptionist – Green Span
• Receptionist – Junction
• Claims Assurance Assistant – Buruburu
• Claims Assurance Assistant – Eldoret
• Claims Assurance Assistant – Embakasi
• Claims Assurance Assistant – Garden City
• Claims Assurance Assistant – Green Span
• Claims Assurance Assistant – Junction
• Claims Assurance Assistant – Kakamega
• Claims Assurance Assistant – Kikuyu
• Claims Assurance Assistant – Kisumu
• Claims Assurance Assistant – Langata
• Claims Assurance Assistant – Mombasa
• Claims Assurance Assistant – Nakuru
• Claims Assurance Assistant – Ongata Rongai Town 
• Claims Assurance Officer – Embakasi
• Claims Assurance Officer – Garden City
• Claims Assurance Officer – Green Span
• Claims Assurance Officer – Junction
• Claims Assurance Officer – Kakamega Town

Expiry: 12 Jun 2025

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