Insurance Officer at BESH L&L Consultancy Group

Insurance Officer

BESH L&L Consultancy Group

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BESH L&L Consultancy Group is seeking a detail-oriented and results-driven Insurance Officer to manage the health insurance claims process from patient cover verification and authorisation through claim preparation, submission, query resolution, reconciliation, and payment follow-up. The role will help maximise legitimate insurance collections, reduce claim rejections, and maintain strong relationships with NHIS and private insurers.  The following are the responsibilities and qualifications for the position;
Key Responsibilities

·       Ensure insurance cover, service limits, exclusions, co-payments and authorisation requirements are verified before care where applicable.

·       Track claims from submission to payment, follow up outstanding and aged claims, and investigate deductions or short payments

·       Coordinate timely authorisation requests and maintain accurate records and reference numbers.

·       Compile and quality-check claims for accurate coding, approved tariffs, charges and supporting clinical and billing documents.

·       Reconcile insurer remittances with the Accounts Officer and maintain accurate claims registers and ageing reports.

Qualifications

·       Bachelor's degree or HND in Health Administration, Business Admin, Finance, Accounting or a related field.

·       At least 3 years' experience in health insurance claims, revenue-cycle work or medical billing, including private health insurance claims.

·       Working knowledge of claims coding, tariffs, authorisations and claims submission processes.

·       Strong Excel skills and experience using hospital billing or claims management systems.

Compensation

·       Competitive Salary

 


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