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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