The African Medical Centre of Excellence (AMCE) Abuja is a 500-bed specialty hospital offering world-class comprehensive diagnostics and treatment in oncology, cardiovascular, and haematological care, and general medical and surgical services, along with top notch research and education. The AMCE will provide exceptional care to people on the African continent, regardless of their financial means. Developed by the African Export-Import Bank (Afreximbank) in clinical partnership with King’s College Hospital NHS Foundation Trust., AMCE Abuja is the first of five centres planned for development in Africa.
We are recruiting to fill the position below:
Job Title: Health Insurance Officer
Location: Abuja, Nigeria
Employment Type: Full Time
Workplace Type: Onsite
Job Purpose
- The Health Insurance Officer will be responsible for providing administrative and operational support in managing insurance claims and contracts within the hospital.
- The role is responsible for ensuring timely claims processing, accurate documentation, and effective communication with patients and insurance providers.
- This is a junior role ideal for candidates seeking to develop a career in healthcare administration, health insurance, or revenue cycle operations.
Key Accountabilities/Responsibilities
Claims Processing & Administration:
- Verify patient insurance eligibility and coverage details.
- Prepare and submit insurance claims accurately and in a timely manner.
- Follow up on pending, rejected, or denied claims and support resolution.
- Maintain proper documentation and records of all claims activities.
Insurance Contract Support:
- Assist in maintaining and updating records of insurance contracts.
- Track contract timelines and support renewal processes.
- Ensure claims align with agreed contract terms and escalate discrepancies.
Patient & Insurer Engagement:
- Respond to patient inquiries regarding insurance coverage and claims status.
- Liaise with insurance companies and third-party administrators to resolve issues.
- Provide clear explanations to patients on billing, co-payments, and processes.
Compliance & Data Management:
- Ensure adherence to hospital policies and regulatory requirements.
- Maintain confidentiality of patient and insurance information.
- Support audits by providing accurate and complete documentation.
Reporting & Continuous Improvement:
- Update claims tracking systems and generate basic reports.
- Identify common issues leading to claim denials and suggest improvements.
- Participate in training and contribute to process improvements within the team.
Qualifications, Skills & Experience
- Bachelor’s Degree in Insurance, Risk Management, Finance, Business Administration, or a related field.
- Familiarity with medical billing, insurance policies, and contract terms.
- Strong attention to detail and organizational skills.
- Proficiency in Microsoft Office and claims management software.
- Excellent communication skills (written and verbal) for liaising with patients, insurers, and internal teams.
- Ability to work in a fast-paced, multicultural environment.
Application Closing Date
Not Specified.
https://www.hotnigerianjobs.com/hotjobs/914424/health-insurance-officer-at-african-medical-centre.html