Medical Doctor Wellness Healthcare group

Duties & Responsibilities

• Validate of claims sent in by providers.
• Coordinate pre-employment from clients.
• Work hand in hand with the medical team for tariff negotiation.
• Liase with medical service providers to ensure prompt delivery of care to clients to avert service failure.
• Work hand in hand with the call center executive to ensure authorizations are given in line with diagnosis.
• Ensure proper case management of all admissions to ensure adequate cost effective treatment for diagnosis.
• Ensure client engagement sessions through provision of periodic health talks.
• Facilitate activities at the wellness hub.
• Ensure prompt resolution of client complaints.
• Ensure weekly/monthly departmental reports are sent in as at when due.
• Working with the medical team for the success of medical outreaches and medical checks
• Responsible for claims Audit.
• And all other duties assigned my your manager

Qualification and Experience

• OND in any discipline.
• 1 year work experience is required.

Skills:

• Ability to work independently.
• Administrative and organizational skills.
• Excellent interpersonal skills and ability to multi task.
• Great Team Spirit.
• Sound computer usage skills.