CLAIMS ACCESSOR at Oceanic Health Management Limited

Job Overview

Location
Lagos, Lagos
Job Type
Full Time
Date Posted
2 years ago

Additional Details

Job ID
62482
Job Views
95

Job Description



Job Duties/ Responsibilities/ Accountabilities:



  • Coordination of the medical claims.

  • Receipt and registration of Provider claims.

  • Keying-in of Provider claims.

  • Adjudication of claims.

  • Processing of claims within contractual timelines.

  • Management of medical expenses within benefits.

  • Preparation and collation of Provider claims, sending reviews and reports.

  • Attendance of internal meetings to enhance productivity and profitability.

  • Ensure all administrative reports are sent within allotted timelines.

  • Unit document filling and record keeping.

  • Escalation of unit requirements to other relevant internal stakeholders.

  • Vetting of member reimbursement documents in accordance with incidental circumstances and agreed rates.

  • Any other task and duty as assigned by the head of unit.


Requirement



  • Education Qualification: Registered Nurse(preferably) or BSC (with industry experience)

  • Data Analytics tools certification

  • Experience (Dimension and No of years): Minimum of one year in similar role


Functional/ Technical:



  • Good clinical skills

  • Apt administrative skills

  • Proficient in Microsoft office tools


Managerial:



  • Ability to multi-task

  • Problem solving

  • Analytical expertise

  • Discrete

  • Behavioral:

  • Conscientiousness

  • Excellent Communication skills

  • Time management skills

  • Organizational skills

  • Interpersonal skills


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