Healthcare Operations Specialist

23 hours ago


Abuja and Lagos, Nigeria RONSBERGER NIGERIA LIMITED Full time

Job Description:

We are seeking a highly skilled Nursing Officers to join our team at RONSBERGER NIGERIA LIMITED.

About the Role:

  • Attend to requests for authorization of medical codes from healthcare providers, interpret them, and treat them in line with NHIS operational guidelines.
  • Vet medical bills from hospitals, interpret them, and treat them in line with NHIS operational guidelines.
  • Keep records of all incoming and outgoing calls, as well as settled and outstanding medical bills.
  • Carry out quality assurance functions, including hospital visitations, to ensure high-quality services.
  • Liaise with other departments on enrollees' complaints and enquiries.

Key Responsibilities:

  • Authorization of medical codes
  • Vetting of medical bills
  • Record-keeping
  • Quality assurance
  • Interdepartmental liaison

Requirements:

  • A strong background in nursing or a related field
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team
  • Familiarity with NHIS operational guidelines


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