Quality Assurance Officer at Cedarcrest Hospitals Limited

Cedarcrest Hospitals Limited was founded in Abuja in January, 2008. The hospital started as a mono specialty centre and was formerly known as Cedarcrest Orthopaedic Clinics Ltd. Within a few years the hospital expanded its scope of services and has become a leading private multispecialty hospital. The core vision of the organisation is to provide world class specialist healthcare services to patients in Nigeria and the West African sub region.

Cedarcrest Hospitals Limited currently has four hospitals located in Abuja, Lagos, Kainji and Jebba having over one hundred (100) bed capacity without patient camps in several other cities across Nigeria. Our services and facilities span several specialities and include emergency / trauma centre, radiology diagnostic centre, prosthetic manufacturing plant, oxygen manufacturing plant, modular surgical operating theatres, gastrointestinal endoscopy suite and several other facilities that make for a modern multispecialty hospital

We are recruiting to fill the position below:

Job Title: Quality Assurance Officer

Location: Abuja (FCT)

The Role

• Vetting all HMO invoices for proper diagnosis, treatment and services.
• Routine reconciliation of outstanding bills with corporate organizations under Health Maintenance Organization (HMO) contractual agreement.
• Managing chronic disease register.
• Liaising with clinicians on care for HMO and corporate patients
• Liaising with HMO and corporate organizations on patient care

Responsibilities

• Effective monitoring to ensure that HMO’s patients access care that are within their insurance coverage.
• Ensuring that treatments and patients’ case notes are properly documented.
• Monthly and yearly reconciliation of outstanding bills with corporate organizations.
• Examine patients’ case notes to verify the treatments that they are able to access.
• Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to patients/clients/corporate organizations.
• Ensure and maintain accurate documentations for all HMO patients/clients.
• Respond to all HMO patients’/clients’ inquiries and handle complaints accordingly.
• Interface with corporate organizations via correspondences, emails and physical negotiations.

Qualifications

• MBBS
• 2+ years proven work experience as a HMO medical officer or similar role
• Familiarity with office machines (e.g. fax, printer etc.)
• Knowledge of administrative procedures
• Proficient in English (oral and written)
• Excellent knowledge of MS Office (especially Excel and Word)
• Strong communication and people skills
• Good organizational and multi-tasking abilities
• Problem-solving skills
• Customer service orientation.

Special Conditions

• Employment is contingent on passing a medical screening conducted by the hospital
• The employee will be subject to various testing including but not limited to drug and medical testing throughout the tenure of their employment.

Application Closing Date
7th July, 2021.