Managed Care / Marketing Officer (Ogun)

About this role

The Medical Record Officer role involves managing the day-to-day interface with HMO and retainership schemes, handling enrolee verification, authorisations, referrals and claims to support enrollee care and timely reimbursement. The position is based in Mosimi, Ogun, within the Medical & Ancillary Services department of a growing multi-specialist healthcare group.

What you would do

• Verify enrolee eligibility and process pre-authorisation and referral requests within scheme terms.
• Prepare, submit, track and reconcile claims, and follow up promptly on rejections and outstanding payments.
• Liaise with assigned scheme partners on authorisations, queries and disputes.
• Coordinate with clinical teams to ensure care is delivered within scheme rules and properly documented.
• Respond to enrolee enquiries and complaints, escalating as needed.
• Maintain accurate managed-care records and produce regular activity reporting.

What they are asking for

• Degree or HND in health sciences, nursing, public health, business administration or related discipline.
• Completion of NYSC or valid exemption.
• Minimum of 4 years of relevant experience in managed care/HMO operations, health insurance or healthcare administration.
• Working knowledge of HMO and retainership processes, authorisations and claims.
• High attention to detail and accuracy in claims and records.
• Strong communication and liaison skills; proficient with claims/records systems.

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