Claims Officer / Care Coordinator
Employment Nigeria
25-Sep-2015
LAGOS ,
Managerial
Box & Cedar - Our client in the Health care sector, is recruiting to fill the position of:
Position: Claims Officer / Care Coordinator
Job Description
- Attachment of bill analysis to paid claims
- Filing of all paid claims
- Computerized processing of NHIS data.
- Assisting in processing NHIS capitation
- NHIS registration of enrollees
- Analysing and processing of NHIS fee-for-service claims
- Checking enrollee status and approval
- Vetting bills according to NHIS tariff
- Noting discrepancies on the bills and writing or return of claims to affected provider
- Posting of issued cheques for paid claims
- Visitation of NHIS providers / parastatals
- Documenting / imputing of NHIS primary providers bank details
- Giving of approvals to secondary providers for NHIS enrollees
- Payment of NHIS providers capitation to banks
- Notification through correspondences and calls to NHIS providers on payment of capitation to their bank account
- Filing acknowledgement copies/receipts of capitation
- Assisting in enrollee enlightenment on the operation of NHIS
- Other duties as assigned
- Attending to calls on NHIS enrollee providers
- Attending to NHIS enrollee complaints on omission of names or changes in ID cards (Registration)
Minimum Qualification
- Nurses with B.Sc, RN and RM with post qualification experience 1 of which in a HMO
- Fresh Graduate's can also apply.
Knowledge & Skills:
- Possesses good verbal and written skills
- Communication Skills
- Problem Solving Skills
- Listening Skills
- Attention to details
- Team Work
- Resilience
- Adaptability
- Initiative
How to Apply
Click here to apply
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