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

 

Method of Application

Interested and suitably qualified candidates should click here to apply online.