Job Description
Manager, Credit Control & Insurance – Job Grade KUTRRH 6, Ref. V/FT/09/2024 (1 Position)
Job Purpose: The position holder will be responsible for all collection functions necessary to ensure
the prompt and correct payment to the Hospital of all monies owed by patients and insurance
providers will be responsible for working accounts with balances according to their respective payer
at KUTRRH.
Duties and Responsibilities
• Participate in formulation, reviewing and implementation of the Hospital’s credit control
procedures;
• Ensuring that all transactions in the department are compliant with statutory and hospital
regulations;
• Responsible for the timely and accurate review of posting and balancing of payment/rejection
and adjustment transactions which are necessary for closing accounts;
• Have specific operational knowledge of assigned insurance billing contract, agreements and
responsibilities in reviewing and following up aged debt;
• Be cognizant of responsibility of credit controller role in affecting hospital cashflow;
• Follow key processes and procedures in completing credit control tasks to quality standards;
• Collaborate with team members to facilitate the delivery of effective billing services and
follow-up to all customers to promote account reconciliation;
• Manage assigned list by ensuring the timeliness and accuracy of billings, collections, contractual
postings, payments and adjustments of accounts based upon functional standards;
• Resolve incoming queries on billing or outstanding accounts from patients, insurance
companies, consultants in a professional and efficient manner;
• Responsible for updating system notes with account activity, status and expected
reimbursement;
• Developing service level agreements and executing third party contract on delegation;
• Apply reminders on account to ensure full follow through by relevant insurance group;
• Have sufficient knowledge or access to knowledge to provide correct information with regard
to fees, excesses or co-payments on individual policies or individual procedures;
• Handle disputed bills and negotiate to bring payment within the agreed terms;
• Provide accurate advice on billing queries;
• Ensure that debts are paid in a timely manner;
• Prepare and submit daily, weekly, and monthly reports for the department;
• Overseeing key account and customer relationship management;
• Any other duty as may be assigned.
Qualifications and Requirements
i. Bachelors degree in Finance, Accounting or equivalent qualification from a recognized
institution.
ii. Masters degree in Finance, Accounting or equivalent qualification from a recognized
institution.
iii. Certified Public Accountant (CPA-K) qualification or its equivalent qualification from a
recognized institution.
iv. A minimum period of six (6) years relevant work experience, two (2) years of which should
have been at the supervisory level or in a comparable position.
v. Professional membership to the Institute of Certified Public Accountants of Kenya (ICPAK).
vi. Operational knowledge of Credit Control processes and requirements
vii. Supervisory course lasting not less than two (2) weeks.
viii. Must have a strong understanding of financial principles, credit management, and insurance
practices.
ix. Must demonstrate the ability to analyze financial data, assess risk, and make informed decisions
related to credit control and insurance.
x. Proficiency in computer applications.
xi. Fulfilled the requirements of Chapter Six (6) of the Constitution of Kenya, 2010.
Key Competencies and Attributes
• Negotiation Skills: Skilled at reaching favorable agreements with clients, insurers, and other
stakeholders.
• Analytical Skills: Ability to analyze financial data (credit reports, insurance claims, payment
histories) to inform decisions and identify trends in credit performance and financial metrics
to predict future outcomes.
• Customer Service Orientation: Excellent customer service skills in interacting with patients,
insurance companies, and other stakeholders. Should be responsive, empathetic, and able to
address inquiries or concerns.
• Organizational Skills: Must be highly organized and efficient in delivery of tasks and meeting
of deadlines.
• Critical Thinking and Problem-Solving: Adept at identifying problems, finding solutions, and
mitigating risks.
• Leadership and Mentorship: Inspires and guides junior colleagues, fostering a culture of
excellence.
• Teamwork and Collaboration: Able to work closely and effectively with Accounts staff, Billing
staff, and insurance providers.
• Risk Management: Ability to identify, assess, and mitigate risks and develop contingency plans
to safeguard the Hospital from internal and external threats.
• Ethical Conduct: Must uphold high ethical standards in credit management and insurance
practices and demonstrate transparency, honesty, and fairness.