Revenue Team Lead

Plainsview is a large nursing home located in Kiambu County, Kenya, that has been serving the community and beyond since 1999.

The Revenue Team Lead will be responsible for providing dedicated leadership to the hospital's Revenue Cycle Unit. This includes coordinating all aspects of patient financial clearance, verifying insurance details, managing pre-authorizations, ensuring accurate claims documentation, and facilitating effective communication with payers. The primary goal is to ensure timely reimbursement for services, significantly reduce claim rejections, enhance overall revenue assurance, and support the continuous provision of patient care.

1. Lead the daily operations of the Revenue Cycle function, coordinating activities related to Billing, Accounts Receivable, and Case Management.
2. Translate Finance Department objectives into actionable work plans, assign tasks, and set performance expectations for Revenue Cycle staff.
3. Monitor key metrics such as pending bills, unbilled encounters, outstanding claims, debtor ageing, rejected claims, and collection performance.
4. Drive revenue assurance by ensuring all clinical and non-clinical services are accurately billed and captured in the system.
5. Review waivers, billing adjustments, credit notes, and write-offs to ensure compliance with Hospital policy and delegated authority.
6. Coach, supervise, and facilitate the development of Billing Officers, Accounts Receivable Officers, and Case Management Officers.
7. Prepare and submit routine reports to the Chief Finance Officer detailing billing, collections, and claims performance.

1. Bachelor's Degree in Finance, Accounting, Commerce, Business Administration, or a related field.
2. CPA Part II qualification.
3. Minimum of 5 years of progressive experience in healthcare finance, revenue cycle management, medical billing, or accounts receivable.
4. At least 2 years of supervisory experience within the relevant fields.
5. Previous roles in revenue cycle management, medical billing, claims/accounts receivable, or healthcare finance leadership are highly relevant.
6. ICPAK membership is considered an added advantage.