Job Description
Job Responsibilities
- To verify and process for approval, all medical bills/claims of Enrollees from our Healthcare Providers.
- Carryout routine inspection of Healthcare provider’s facility within the network.
- Carryout registration and accreditation of Healthcare providers in the network.
- Process and authorization of referrals for our Enrollees to Healthcare providers.
- Providing expert advice on health promotions and disease prevention.
- Cooperate with the Executive team to initiate procedures, regulations and programmes to benefit our patients and support our health centre in line with the best practice.
- Assume responsibility of our clinical services.
- Institute a behavioral framework for all healthcare providers at our clinical services locations.
Qualification Requirements
- Minimum of First Degree or its equivalent in Medicine or Health related field.
- Post Graduate Qualification in Public Health, Health Management, health financing or related fields.
- Certification in or professional membership of health, management or related bodies.
- Applications will be accepted from physicians who are currently licensed.
- Minimum of 10 years experience post NYSC
- Minimum of 5 years experience in relevant and related field.
- Attendance of related Courses / Workshops / Seminars, etc.
Job Skills:
- Critical thinking
- Problem solving skills
- Time Management and Excellent communication skills
- Teamwork skills
- Knowledge of Health Insurance will be an advantage
- Excellent written and verbal communication skills
- Knowledge of Excel, MS words and Ms Power point, etc.