HMO Officer
Westcare Specialist Hospital
Description
- We are seeking a competent, detail-oriented, and experienced HMO Officer to join our team.
- The ideal candidate will be responsible for managing HMO-related processes, coordinating with HMO partners, and ensuring seamless healthcare services for eligible patients.
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
Not Specified.
Method of Application
Interested and qualified candidates should send their CV to: [email protected]using “HMO Officer” as the subject of the email.
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Vacancy posted 2 days ago
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