Credit Officer at Penda Health | Nairobi, Kenya
Company/Recruiter: Penda Health
Opportunity snapshot
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Opportunity type
Job
Location
Kenya, Nairobi
Work arrangement
Location-based; remote work not stated
Compensation
Not disclosed
Employer
Penda Health
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MorrJobs preparation notes
Role shape: Responsibility-led role with a detailed skills profile.
Evidence to prepare: Connect your CV or portfolio to A Bachelor's degree in Finance, Business Management, or a related discipline. A CPA qualification is an advantage.; Four years of experience in a busy credit department within a healthcare organization or in me…. Use one concrete example that shows you can Manage portfolio receivables by promptly resolving queries related to outstanding accounts from insurance and corporate partners, a...
Check before applying: Confirm that Kenya, Nairobi and the stated work arrangement suit you.
- No closing date is listed; confirm that the opportunity is still open before applying.
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Job Overview
The Credit Officer will report to the Senior Manager, Credit Control, and is responsible for managing the collection and reconciliation of accounts from insurance and corporate payers. This involves overseeing the entire claims process from submission to payment and account closure, collaborating with Claims Assistants on submission issues and with the Credit Controller on complex disputes. The position does not involve direct management of staff.Key Responsibilities
- Manage portfolio receivables by promptly resolving queries related to outstanding accounts from insurance and corporate partners, as well as internal stakeholders.
- Investigate and resolve billing disputes and payment queries by coordinating with Medical Centres and relevant internal teams.
- Conduct regular account reconciliations with assigned partners, ensuring discrepancies are addressed and sign-offs are obtained within agreed timelines.
- Prepare and submit appeals for disputed or rejected claims by gathering necessary supporting documentation and justifications.
- Develop and maintain strong working relationships with insurance and corporate partners to improve collaboration and collection rates.
- Maintain accurate system records by documenting account activities, payment status, follow-up actions, and partner interactions.
- Drive timely collections by consistently following up on outstanding invoices and adhering to credit terms and collection targets.
- Proactively identify and resolve payment bottlenecks by engaging relevant internal and external parties to accelerate collections.
- Support Medical Centres by resolving routine billing and account queries and coordinating missing documentation.
- Identify recurring payer-rule and process gaps, submitting evidence and training needs to the Senior Manager, Credit Control.
- Ensure adherence to established credit control procedures, policies, and SOPs.
- Maintain accurate customer account records, ensure timely receipt allocation, and resolve discrepancies promptly.
- Submit portfolio ageing and cash forecast inputs by the 8th of each month and complete monthly reconciliations by the 15th.
- Provide weekly collection updates and a monthly dispute register to the Senior Manager, Credit Control.
- Prepare and send statements by the 6th of each month.
- Resolve routine payer queries and appeals within contractual deadlines.
- Maintain claim-level details, evidence, action dates, and outcomes, escalating complex cases as needed.
- Prepare and send statements, reconcile monthly with payer records, and obtain quarterly payer sign-offs.
- Track overdue invoices and payment commitments to closure.
Requirements
- A Bachelor's degree in Finance, Business Management, or a related discipline. A CPA qualification is an advantage.
- Four years of experience in a busy credit department within a healthcare organization or in medical claims underwriting at an insurance company.
- Familiarity with SHA claims, insurance billing, and payer reconciliation processes is beneficial.
- Ability to manage profitability and devise creative solutions for financial challenges.
- Exceptional attention to detail, efficiency, and the capacity to multitask, prioritize, manage, and complete projects.
- High standards of integrity, ethics, and confidentiality are essential.
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