Job Role

POSITION OVERVIEW

The Hospital Accountant plays a critical role in safeguarding the financial integrity and sustainability of the hospital. This position oversees budgeting, financial reporting, billing, compliance, and internal controls across the hospital’s clinical and administrative operations.

The ideal candidate will combine deep accounting expertise with a solid understanding of the healthcare revenue cycle, insurance claims, and regulatory compliance. This role requires precision, confidentiality, analytical thinking, and the ability to work effectively with both financial and non-financial staff.

KEY ACCOUNTABILITIES

1. Financial Reporting & Records Management

• Maintain up-to-date and accurate financial records across all revenue and expense categories.
• Prepare monthly, quarterly, and annual financial statements in accordance with IFRS and relevant healthcare accounting standards.
• Generate management reports to support data-driven decision-making.

2. Budgeting & Cost Control

• Support the preparation of the hospital’s annual operating and capital budgets.
• Monitor departmental expenditures and identify variances for corrective action.
• Recommend cost-saving measures while maintaining service quality.

3. Revenue Cycle & Billing Oversight

• Supervise billing processes to ensure accurate and timely invoicing of services to patients, insurers, and corporate clients.
• Reconcile revenue between the billing system, accounts receivable, and bank deposits.
• Collaborate with credit control and billing teams to manage receivables and claim follow-ups.

4. Payroll & Staff Compensation

• Manage payroll preparation, ensuring compliance with statutory deductions and timely payment of salaries.
• Maintain confidential employee records related to earnings, benefits, and leave balances.
• Liaise with HR on payroll changes, new hires, and terminations.

5. Regulatory Compliance & Taxation

• Ensure timely filing and remittance of statutory obligations (NHIF, NSSF, PAYE, VAT, etc.).
• Support compliance with all financial and healthcare regulations set by KRA, Ministry of Health, and relevant bodies.
• Assist in annual tax audits and statutory financial audits.

6. Internal Controls & Auditing

• Implement and monitor internal financial controls to safeguard hospital assets and prevent fraud.
• Maintain accurate documentation to support internal and external audits.
• Support development of finance policies and ensure policy adherence.

7. Asset & Inventory Management

• Maintain a fixed asset register and support physical asset verifications.
• Work with the procurement and stores teams to track medical and non-medical inventory usage, reconciliation, and reporting.

Qualification

• Bachelor’s degree in Accounting, Finance, or a related field.
• CPA (K), ACCA, or equivalent professional qualification.
• Minimum of 3–5 years’ experience in accounting, preferably in a hospital, clinic, or medical insurance environment.
• Proficient in accounting software (e.g., QuickBooks, Sage, Navision, or hospital ERP systems).
• Working knowledge of hospital billing, revenue cycle, and insurance reconciliation.

KEY COMPETENCIES

• Financial Accuracy & Integrity – Strong attention to detail and ethical responsibility in financial handling.
• Analytical Thinking – Able to interpret financial data, spot trends, and support forecasting.
• Time Management – Capable of managing multiple deadlines in a dynamic healthcare setting.
• Communication Skills – Clear communicator, especially when engaging non-finance departments.
• Confidentiality – Maintains discretion in handling payroll, payments, and sensitive transactions.
• System Proficiency – Competent in Excel, financial reporting tools, and ERP-based systems.