Healthcare Authorization Specialist

6 days ago


Abuja and Lagos, Nigeria RONSBERGER NIGERIA LIMITED Full time
About the Role

The Nursing Operations Manager will be responsible for overseeing the day-to-day operations of the healthcare department, ensuring that all activities are carried out in line with NHIS operational guidelines.

Main Responsibilities
  • Oversee the day-to-day operations of the healthcare department
  • Ensure that all activities are carried out in line with NHIS operational guidelines
  • Attend to requests for authorization of Code from Healthcare providers
  • Interpret and treat requests in line with NHIS operational guidelines
  • Keep records of all incoming and outgoing calls
  • Vet medical bills from Hospitals, interpret and treat in line with NHIS operational guidelines
  • Keep records of all settled and outstanding medical bills
  • Carry out quality assurance functions including hospital visitation
  • Liaise with other departments on Enrollees' complaints and enquiries
Key Performance Indicators

The key performance indicators for this role include:

  • Ensuring that all activities are carried out in line with NHIS operational guidelines
  • Reducing errors and increasing efficiency in the processing of medical bills
  • Improving customer satisfaction through effective communication and problem-solving


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