• Application Deadline:
• Position: Nurse Auditors


• Job Type Full Time


• Qualification BA/BSc/HND


• Experience 2 years


• Location Abuja , Lagos , Rivers


• Job Field Medical / Healthcare 
  

Job Description

• Review daily in-process report for new assigned claims


• Request documentation from Office Assistant needed to complete clinical review of assigned claims


• Review coding of professional bills utilizing requested procedural notes


• Review itemized bill and medical records for medical appropriateness and inconsistencies by performing a line by line clinical review of claim


• Research unfamiliar procedures as needed via web


• Contact provider's representative to resolve billing issues


• Contact provider's representative to negotiate claim


• Confirm repricing information with provider


• Provide status of outstanding claims upon request


• Prepare management reports of findings for submission to clients

Requirements

• The ideal candidate must be a Registered Nurse


• Should posses minium of 2 years experience (HMO experience will be an added advantage).