MetroHealth HMO is a leading Nigerian health insure-tech company that offers unparallel tech-driven comprehensive primary, secondary, and tertiary health insurance services across the country.
We are recruiting to fill the position below:
Job Title: Nurse Auditor
Locations:Â Abuja (FCT), Lagos, and Rivers
Employment Type: Full-time
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).
Application Closing Date
28th February, 2024.
How to Apply
Interested and qualified candidates should send their CV to:Â [email protected]Â using the Job Title as the subject of the mail.
