Avenue Healthcare Job Opportunities

Job Categories Overview

Available Positions

• Receptionist Positions: 6 locations
• Claims Assurance Assistant: 12 locations
• Claims Assurance Officer: 2 locations

RECEPTIONIST POSITIONS

Locations Available

• Garden City (Full Time)
• Buruburu (Full Time)
• Eldoret (Contract)
• Kikuyu (Contract)
• Langata (Contract)
• Ongata Rongai (Contract)

Job Requirements

• Qualification: Diploma in Front Office/Business Administration/Health Records
• Experience: 2+ years in similar role, preferably hospital setting
• Job Field: Administration/Secretarial

Key Responsibilities

• Professional reception management and patient/visitor assistance
• Patient registration, form completion, and documentation accuracy
• Admission processing and discharge clearance
• Insurance company communication for pre-authorization and coverage verification
• Client vetting procedures for different categories (Staff, GOP’s, AHC prepaid, credit/insurance)
• Telephone call direction and transfer
• Client satisfaction through quality service and follow-up
• Corporate governance policy adherence and fraud prevention
• Patient privacy and confidentiality maintenance

Person Specification

• Customer focus and results-oriented approach
• Strong interpersonal and communication skills
• Team playing abilities
• High responsiveness, ethics, and responsibility

Application Process

Method of Application: Use company this links to apply for specific positions.

CLAIMS ASSURANCE ASSISTANT POSITIONS

Locations Available

• Buruburu (Full Time)
• Eldoret (Full Time)
• Embakasi (Full Time)
• Garden City (Full Time) – BA/BSc/HND required
• Green Span (Full Time)
• Kakamega (Full Time)
• Kikuyu (Full Time) – BA/BSc/HND required
• Kisumu (Full Time)
• Langata (Full Time)
• Mombasa (Full Time)
• Nakuru (Full Time)
• Ongata Rongai (Full Time)

Job Requirements

• Qualification: Diploma in Accounts/Business Administration/Health Records (BA/BSc/HND for Garden City & Kikuyu)
• Experience: 1-2 years in medical billing/revenue cycle role
• Job Field: Insurance
• Desirable: CPA training, knowledge of Kenyan medical insurance procedures (SHA/SHIF, private insurance)

Main Purpose

Support claims process by preparing and verifying claim documents and assisting with patient billing issues, focusing on complete documentation for timely claims submission and rejection prevention.

Key Responsibilities

Claims Documentation & Support

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

Invoice Preparation & Submission

• Generate, verify, and close accurate invoices for all patient types
• Match invoices to authorization codes and patient service records
• Prepare claims for submission and maintain dispatch logs

Reconciliation & Billing Follow-Up

• Track and follow up on pending/rejected claims
• Reconcile billed amounts with insurer remittances/SHA statements
• Log rejections and errors for trend analysis

Patient & Interdepartmental Liaison

• Handle patient billing queries professionally
• Coordinate with clinical, front office, and finance teams
• Alert departments of billing anomalies

Data Management & Compliance

• File and organize claim documents per protocols
• Ensure Data Protection Act 2019 compliance
• Update claim and invoice trackers

Reporting & Administrative Support

• Generate daily reports on claims and invoice status
• Assist in SOP manual updates
• Support audit preparations

Key Competencies

• Essential: Medical billing software and EMR systems knowledge, attention to detail, problem-solving abilities, excellent communication skills
• Desirable: Ability to work under pressure in fast-paced environment

Key Deliverables

• 100% accuracy and completeness of insurance/credit documentation before service delivery
• Reduction in claim rejections through proactive documentation checks
• Effective cross-departmental coordination for timely claims submission

Application Process

Method of Application: Use company this links to apply for specific positions.

CLAIMS ASSURANCE OFFICER POSITIONS

Locations Available

• Embakasi (Full Time)
• Kakamega (Full Time)

Job Requirements

• Qualification: Higher Diploma or Diploma in Health Records/Business Administration
• Experience: Minimum 3 years in medical billing/revenue cycle role
• Job Field: Insurance
• Desirable: CPA, ACCA, accounting diploma, relevant bachelor’s degree

Main Purpose

Ensure accurate and complete documentation for insurance and direct credit outpatient claims, minimize payer rejections, and enhance revenue assurance through effective coordination between reception, medical, and credit teams.

Main Responsibilities

Claims Documentation & Assurance

• Verify completeness and accuracy of insurance documentation before service delivery
• Ensure correct system entry of insurance and patient details
• Validate pre-authorizations, NHIF codes, QR codes, diagnosis, and claim attachments

Front Office Oversight

• Supervise client service teams for billing and documentation SOP compliance
• Conduct ongoing training on insurance procedures and system updates

Rejection Prevention

• Analyze claim rejection trends and address root causes
• Identify high-risk claims and escalate incomplete documentation

Interdepartmental Coordination

• Liaison between clinical, reception, and finance departments
• Coordinate with insurance providers for clarifications

Reporting & Audit

• Prepare daily/weekly reports on documentation compliance and rejection metrics
• Support internal audits and corrective action plan implementation

Financial & Operational Oversight

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

Customer Experience

• Resolve patient billing concerns professionally
• Support patient-first approach with billing transparency

Key Competencies

• Essential: Medical billing software and EMR systems knowledge, attention to detail, problem-solving abilities, excellent communication skills
• Desirable: Ability to work under pressure in fast-paced environment

Key Deliverables

• 100% accuracy and completeness of insurance/credit documentation before service delivery
• Reduction in claim rejections through proactive documentation checks
• Effective cross-departmental coordination for timely claims submission

Application Process

Method of Application: Use company this links to apply for specific positions.

Note: All positions require adherence to Avenue Healthcare corporate governance policies, including fraud prevention and audit recommendation implementation.