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Vacancy for Claims Officer / Care Coordinator Job

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Box & Cedar is an HR Consulting Firm. We believe in the power of
people and exploiting it to the maximum because we know that people are
the greatest assets of any organisation.
We have distilled our products into what we call the 3S- Sourcing, Sieving and Stimulating.

Job Title:  CLAIMS OFFICER / CARE COORDINATOR

 

Job Description:

  • Analysing and processing of NHIS fee-for-service claims
  • Documenting / imputing of NHIS primary providers bank details
  • Noting discrepancies on the bills and writing or return of claims to affected provider
  • Posting of issued cheques for paid claims
  • Attachment of bill analysis to paid claims
  • Filing of all paid claims
  • Computerized processing of NHIS data.
  • Giving of approvals to secondary providers for NHIS enrollees
  • Checking enrollee status and approval
  • Vetting bills according to NHIS tariff
  • Assisting in processing NHIS capitation
  • Notification through correspondences and calls to NHIS providers on payment of capitation to their bank account
  • Filing acknowledgement copies/receipts of capitation
  • Attending to calls on NHIS enrollee providers
  • Attending to NHIS enrollee complaints on omission of names or changes in ID cards (Registration)
  • Assisting in enrollee enlightenment on the operation of NHIS
  • NHIS registration of enrollees
  • Visitation of NHIS providers / parastatals
  • Payment of NHIS providers capitation to banks
  • Other duties as assigned

Minimum Qualification:

  • * Nurses with BSc, 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
 * Team Work
 * Resilience
 * Adaptability
 * Initiative
 * Problem Solving Skills
 * Listening Skills
 * Attention to details

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How to Apply
 
Click here to apply

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