Nursing Operations Manager

5 days ago


Abuja and Lagos, Nigeria RONSBERGER NIGERIA LIMITED Full time
Job Description

The Healthcare Authorization Specialist will be responsible for authorizing medical procedures and treatments, ensuring that they are in line with NHIS operational guidelines.

Main Responsibilities
  • Authorize medical procedures and treatments
  • 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
Requirements

To be successful in this role, the ideal candidate should possess excellent analytical and problem-solving skills, with the ability to work effectively in a fast-paced environment.


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