The African Medical Centre of Excellence (AMCE) Abuja Job Vacancy-Health Insurance Officer

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.

How to Apply
Interested and qualified candidates should:
Click here to apply online

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