Tuesday, 11 February 2020

Medical Officer – Claims & Quality Assurance Manager at Ascentech Services Limited

Ascentech Services Limited – Our client, a leading Health Maintenance Organisation is currently recruiting to fill the position below:
Job Title: Medical Officer – Claims & Quality Assurance Manager
Location: Lagos
Job Description
  • We are currently looking to hire a Medical Officer with HMO experience, who will function in the position as Medical Officer – Claims & Quality Assurance Manager.
Duties / Responsibilities
  • Medical verification of bills to ensure adequate treatment.
  • Ensure prompt and appropriate referrals; participation in medical outreach, wellness and health seminars.
  • Develop and monitor quality assurance measures and preparation of regular utilization reports.
  • Participate in provider forum and provision of prompt support to the Call Centre.
  • Claims vetting and approval, preparation of payment claims and performing medical audit regularly
  • Inspection of primary and secondary healthcare providers to guarantee they maintain set guidelines and standards as deemed acceptable.
  • Inspection and register new providers, and ensuring providers adhere to respective agreements.
  • Ensure best practices are adhered to in quality of care administrated to clients.
  • Monitor mode and manner of medical care rendered by providers.
Essential Requirements
Qualification and Experience:
  • Minimum of 3 years’ experience in similar position in an Health Maintenance Organisation (HMO).
  • Must be conversant with NHIS policy guidelines.
  • Minimum of MBBS. Additional qualification(s) will be an added advantage.
  • Minimum of 2 year experience in general medicine.

How to Apply
Interested and qualified candidates should send their CV to: [email protected] stating the position applied for in the subject of the mail.
Application Deadline 15th February, 2020.
Note: Only shortlisted candidates will be contacted.

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