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Latest Vacancies at MetroHealth HMO Limited



  2020-12-31
  Lagos

MetroHealth HMO is a Nigerian leading health management organization with an aim to render unparalleled technology-based and comprehensive primary, secondary, and tertiary health care services across the country. MetroHealth was registered by the regulatory authority, the National Health Insurance Scheme (NHIS) to operate as a national HMO in 2013.

With over 650 partner hospitals, we are committed to rendering world-class preventive and curative health care services to our clients in the easiest and stress-free method. We understand that every client is unique and deserves flexible, specialized solutions; therefore we embrace an individualized approach towards taking excellent care of our clients.

We are big on maximizing the blessings of technology to render 21st century-based health services making sure our clients are in the best state of health.

We are recruiting to fill the position below:

Job Title: HR / Admin Officer

Location: Lagos
Employment Type: Full-time
Reporting to: Head, HR/Admin

Job Description

  • Providing support in the various Human Resource functions which includes but not limited to: HR Operations, recruitment & selection, L & D, performance management and employee relations.
  • Assist in ensuring that HR policies and procedures are adhered to
  • Liaising with a range of people involved in policy areas and HR operations
  • Maintaining, keeping and updating staff records
  • Generating Staff attendance reports and leaves records.
  • Assist in new employee onboarding program
  • Processing of Statutory remittances & utility bill
  • Supporting the development and implementation of HR initiatives and systems.
  • Overseeing administrative matters including: Vendors, vehicle & drivers management, Supervise and manage all day-to-day office administrative activities

Requirements

  • B.Sc / HND in any of the social sciences; further training will be a plus
  • Minimum of 4 years of cognate job experience on same role
  • Proficient in MS Office suit
  • Must be an HR generalist
  • Detail-Oriented
  • Male preferrable for gender equality

Job Title: Claims Supervisor

Location: Lagos
Employment Type: Full-time

Job Responsibilities

  • Coordinate the management of all Claims processes from submission, initial review, sorting and tracking, pre-processing, adjudication, review, scheduling for payment and then reconciliation and sign off on paid claims.
  • Ensure Accurate processing of all claims following proper enrolee verification, enrolee eligibility, PA confirmation, and according to contracted fee schedule with provider.
  • Ensure timely processing of claims and appeals on FIFO bases to ensure payment within 30 days of receipt of claims.
  • Ensure proper filing and maintenance of claims documents and make sure the information is readily available.
  • Conducts a review of processed claims for errors and ensure accuracy of processed claims and preparation of claim schedules for payment
  • Responsible for the supervision of the staff in claims unit including training and team building.
  • Regular reports on claims status, receipt, processed and payment.
  • Monitoring and evaluation of utilization patterns by
  • Analysis of preauthorization reports to identify regional and provider specific trends and propose process changes and policies for effective utilization management
  • Analysis of claims reports to identify regional and provider specific trends and propose process changes and policies for effective utilization management
  • Regular reports on claims status, trends and utilization patterns.
  • Any other activity as assigned by management

Requirements

  • Minimum B.Sc. / HND in any discipline
  • Minimum of five (5) years of cognate experience on same role and in the HMO industry

Deadline: 22nd January, 2021.

How to Apply
Interested and qualified candidates should send their CV tometrovacancies@gmail.com using the Job title as the subject of the mail.

Note: Only shortlisted candidates will be contacted

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