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Justina Seyi

@justinaseyi

Case Management Nurse and Claims Supervisor at Songhai Health Trust HMO, coordinating patient care and reviewing medical claims.

Nigeria

Message

At Songhai Health Trust HMO, I serve as a Case Management Nurse / Claims Supervisor, coordinating patient follow-up, appointments, referrals, and treatment authorizations. I also review medical claims using ICD-10 knowledge and work with providers to resolve complex claims and reconciliation issues.

At Ultimate Health HMO, I managed claims operations and prior authorization workflows, reviewed eligibility and benefits, and supported quality assurance. I also handled patient and provider escalations and supervised staff across claims, provider relations, and patient support.

At Zankli Medical Centre, I delivered patient care across emergency, medical, surgical, mental health, and inpatient units. Earlier, I provided bedside and inpatient nursing care at Ola-Olu Hospital and Medically Unique Hospital. I hold RN and RM credentials and am pursuing a Bachelor of Science in Nursing.

Experience

Work history, roles, and key accomplishments

Current

Case Management Nurse / Claims Supervisor

Current

Songhai Health Trust HMO

Apr 2026 - Present (6 months)

Liaises between patients, healthcare providers, and operational teams to support continuity of care and timely resolution of patient concerns. Reviews claims using ICD-10, manages denials and appeals, and coordinates patient follow-up and authorization processes.

ICD 10 Claims Review Medical Billing Insurance Verification Prior Authorizations Patient Coordination Electronic Health Records (EHR EMR)Healthcare Documentation Remote Patient Support Communication Skills

Head, Claims Management / Assistant Quality Assurance Manager

Ultimate Health HMO

Aug 2024 - Feb 2026 (1 year 6 months)

Managed patient and provider escalations, end-to-end prior authorization processes, and claims administration. Conducted eligibility and benefits checks, quality assurance reviews, and supervised operational staff.

Claims Management Prior Authorizations ICD 10 Eligibility Verification Benefits Verification Quality Assurance ERA EOB Review Supervision Healthcare Operations

Senior Staff Nurse

Zankli Medical Centre

Mar 2017 - Jul 2024 (7 years 4 months)

Delivered comprehensive patient care across emergency, medical, surgical, mental health, and inpatient units. Conducted patient assessments, triage, monitoring, and clinical documentation while educating patients and caregivers.

Patient Care Triage Clinical Documentation Patient Education Medication Management Multidisciplinary Collaboration Electronic Health Records (EHR EMR)billing documentation

Staff Nurse

Ola-Olu Hospital

Jan 2014 - Dec 2015 (1 year 11 months)

Delivered bedside nursing care and monitored patient clinical progress. Supported wound care management, perioperative nursing care, and patient education activities.

Bedside Nursing Wound Care Perioperative Care Patient Education Clinical Monitoring

Registered Nurse

Medically Unique Hospital

Jan 2011 - Dec 2013 (2 years 11 months)

Provided direct patient care and monitored patient conditions within inpatient care settings. Conducted clinical documentation, patient assessments, and multidisciplinary care support activities.

Direct Patient Care Clinical Documentation patient assessment Multidisciplinary Care