Medical and Quality Assurance Officer at a National Health Insurance Provider (Lagos & Edo)

 Employment Nigeria 22-Apr-2021 ₦Not Available LAGOS , EDO , Health   Medical   Quality Assurance  


A National Health Insurance Provider is recruiting to fill the position below:

Job Title: Medical and Quality Assurance Officer

Locations: Lagos and Edo
Employment Type: Full-time

Duties and Responsibilities

  • Capture and vet bills sent in from medical facilities.
  • Handle the collation, entry and analysis/reporting of encounter returns from hospitals
  • Analyse data for bill presentation based on requirements and review claims for quality and elimination of fraud.
  • Build rapport and participate in team problem-solving methods.
  • Maintain proper and accurate records as it relates to all the activities in the Unit.
  • Issuance and confirmation of approval codes when necessary.
  • Proffer on the spot solution to enrollees’ challenges.
  • Stays up to date on regulations, and implements changes regarding claims and billing requirements.
  • Ensures quality health care delivery to enrolees by continuous monitoring and evaluation of healthcare facilities.

Skill & Requirements
Education:

  • Registered Professional Nurse and first level degree from an accredited Baccalaureate Nursing Programme (University) or equivalent.
  • National registration and licensing are required.
  • Recognized additional training in primary health care and midwifery is desirable;

Experience:

  • Minimum 2 years of continuous experience in similar position;
  • Experience in the usage of computers and other relevant software packages is desirable.

 

Method of Application
Interested and qualified candidates should forward their application and resume in one document to: hmocareer01@gmail.com , using the "Job Title" and "Location" as the subject of the email.

Note: Only shortlisted candidates will be contacted and advance to the next stage of the selection process.



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