Credit Officer - Insurance and Corporate Payer Accounts

About the role

Penda Health is a healthcare company operating 20 medical centres across Nairobi, Kiambu and Kajiado counties. The Credit Officer reports directly to the Senior Manager, Credit Control and owns the collection and reconciliation of assigned insurance and corporate payer accounts. The role follows submitted claims through acknowledgement, payment, allocation and account sign-off, works with Claims Assistants on submission gaps and with the Credit Controller on complex disputes, and carries no line-management responsibility.

Key responsibilities

• Resolve queries on outstanding accounts from insurance and corporate partners and internal stakeholders, and investigate and resolve billing disputes and payment queries
• Coordinate regular account reconciliations and prepare appeals for disputed or rejected claims with supporting documentation from the Medical Billing team
• Maintain strong business relationships with insurance and corporate partners and keep accurate system records of account activities and payment status
• Drive timely collections through follow-up on outstanding invoices and adherence to credit terms and collection targets
• Support medical centres by resolving billing queries, coordinating missing documentation and recording recurring errors and training needs
• Ensure compliance with credit control procedures, policies and SOPs, and keep accurate customer account records
• Report statements by the 6th, portfolio ageing and cash forecasts by the 8th, and complete monthly reconciliations by the 15th; provide weekly collection updates and a monthly dispute register
• Prepare adjustment and write-off schedules for approval, track overdue invoices and payment commitments, and refer complex cases to the Credit Controller

Required profile

• Bachelor's degree in Finance, Business Management or a related field; CPA is an added advantage
• 4 years of experience in a busy credit department in a healthcare organisation or in medical claims underwriting in an insurance company
• High standards of integrity, ethics and confidentiality

Required skills

• Knowledge of SHA claims, insurance billing and payer reconciliation processes is an added advantage
• Ability to manage profitability and find creative solutions to financial problems
• Detail-oriented, efficient, able to multitask and follow projects through to completion