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.
CLAIMS OFFICER / CARE COORDINATOR
JOB DESCRIPTION:
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
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
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
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
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
* Problem Solving Skills
* Listening Skills
* Attention to details
* Team Work
* Resilience
* Adaptability
* Initiative
DUE DATE: 25 September, 2015
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