Posted on: Wed 13-01-2016

Our Vision

1. Analysing and processing of NHIS fee-for-service claims
2. Checking enrollee status and approval
3. Vetting bills according to NHIS tariff
4. Noting discrepancies on the bills and writing or return of claims to affected provider
5. Posting of issued cheques for paid claims
6. Attachment of bill analysis to paid claims
7. Filing of all paid claims
8. Computerized processing of NHIS data.
9. Assisting in processing NHIS capitation
10. NHIS registration of enrollees
11. Visitation of NHIS providers / parastatals
12. Documenting / imputing of NHIS primary providers bank details
13. Giving of approvals to secondary providers for NHIS enrollees
14. Payment of NHIS providers capitation to banks
15. Notification through correspondences and calls to NHIS providers on payment of capitation to their bank account
16. Filing acknowledgement copies/receipts of capitation
17. Attending to calls on NHIS enrollee providers
18. Attending to NHIS enrollee complaints on omission of names or changes in ID cards (Registration)
19. Assisting in enrollee enlightenment on the operation of NHIS
20. Answer call professionally.
21. Respond to customer enquiries.
22. Research required information using available resources.
23. Handle and resolve customer complaints.
24. Provide customer with product and services information
25. Enter customer information
26. Accept/process orders, forms and applications
27. Identify and escalate priority issues
28. Route calls to appropriate resource
29. Follow up customer calls where necessary
30. Complete call logs
31. Produce call reports
32. Maintain complaints file (NHIS)
33. Resolves enrollee complaints in Hospitals.
34. Proffer referral centre and codes when necessary to providers.
35. Proficient in relevant computer application.
36. Other duties as assigned

1. Possess good verbal and written communication skills.
2. Listening skills
3. Problem solving
4. Customer service orientation
5. Organizational skills
6. Attention to detail
7. Initiative
8. Adaptability
9. Team work
10. Stress tolerance
11. Resilience.

Job Type: 

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