Medical Administrator – Billing & Clinical Administration

About the role

The Medical Administrator will manage billing, revenue cycle and clinical administration for a high‑volume outpatient clinic. You will ensure accurate charge capture, timely insurance claims and proper documentation across all service lines.

Key responsibilities

• Capture patient charges for consultations, procedures, pharmacy, laboratory and consumables.
• Prepare and issue invoices, receipts and statements using the hospital’s electronic system.
• Reconcile daily billing transactions and maintain accurate electronic billing records.
• Process insurance claims for SHA/NHIF and private insurers, verify eligibility and submit compliant claims.
• Follow up on claim approvals, rejections and documentation gaps.
• Ensure complete entry and closure of patient records in the EMR system.
• Support clinicians with documentation required for billing and insurance approval.
• Handle patient payments securely and perform financial reconciliation.

Required profile

• Diploma or Bachelor’s degree in Health Records, Business Administration, Finance or related field.
• 2–3 years of hands‑on experience in hospital billing, health‑records tracking or medical insurance administration.
• Strong knowledge of SHA/NHIF processes, medical coding frameworks and private medical insurance systems in Kenya.
• Experience with Electronic Health Records and hospital billing modules.
• High attention to detail, numerical accuracy and strong interpersonal communication.

Required skills

• Electronic Health Records (EHR) systems
• Electronic Medical Records (EMR) systems
• Medical coding