HMO Officer

Key Responsibilities

• Liaise with HMOs, retainerships, and corporate organizations to confirm patient eligibility and obtain pre-authorizations.
• Ensure proper documentation and processing of bills for HMO and insurance patients.
• Monitor and follow up on outstanding claims to ensure timely reimbursement.
• Educate patients on HMO coverage, exclusions, procedures, and other relevant information where necessary.
• Act as an intermediary between the hospital, clients, and HMO partners.
• Obtain approval codes for eligible patients by accurately entering requested services on HMO portals.
• Communicate with HMOs via email and other approved channels regarding approvals, patient care, required information, and other necessary matters.
• Maintain accurate records of HMO transactions, approvals, claims, and correspondence.
• Ensure compliance with HMO policies and the hospital’s internal procedures.

Requirements

• HND or Bachelor’s Degree in any relevant field.
• 3–4 years of relevant experience in HMO operations, healthcare administration, insurance, or a related role.
• Good knowledge of HMO processes, claims management, and approval procedures.
• Excellent communication and interpersonal skills.
• Strong attention to detail and documentation skills.
• Ability to work effectively in a hospital environment and liaise professionally with patients and HMO representatives.
• Applicants must reside within Egbeda and its environs.

Application Closing Date
10th October, 2026.

How to Apply
Interested and qualified candidates should send their CV to: using “HMO Officer” as the subject of the email.

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