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  • Posted: Oct 5, 2021
    Deadline: Oct 13, 2021
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    ULTIMATE HEALTH MANAGEMENT SERVICES LIMITED with RC723347 is a National Health Maintenance Organisation (HMO) established in December, 2007 with a strong commitment to delivering qualitative and excellent preventive/curative medical services to all strata of the society at very reasonable and affordable rates. We provide these unparallel healthcare servic...
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    Medical and Quality Assurance Officer

    Duties and Responsibilities

    • Capture and vet bills sent in from medical facilities.
    • Handle the collation, entry and analysis/reporting of encounter returns from hospitals
    • Analyse data for bill presentation based on requirements and review claims for quality and elimination of fraud.
    • Build rapport and participate in team problem-solving methods.
    • Maintain proper and accurate records as it relates to all the activities in the Unit.
    • Issuance and confirmation of approval codes when necessary.
    • Proffer on the spot solution to enrollees’ challenges.
    • Stays up to date on regulations, and implements changes regarding claims and billing requirements.
    • Ensures quality health care delivery to enrolees by continuous monitoring and evaluation of healthcare facilities.

    Skill & Requirements
    Education:

    • Registered Professional Nurse and first level degree from an accredited Baccalaureate Nursing Programme (University) or equivalent.
    • National registration and licensing are required.
    • Recognized additional training in primary health care and midwifery is desirable;

    Experience:

    • Minimum of 2 years of continuous experience in similar position;
    • Experience in the usage of computers and other relevant software packages is desirable.

    Method of Application

    Interested and qualified candidates should forward their Application and Resume in one document to: careers@ultimatehealthhmo.com using the Job Title and Location as the subject of the email.

    Note: Only shortlisted candidates will be contacted and advance to the next stage of the selection process.

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