Account Receivable Officer (HMO Billing)

Accounts Receivable Officer (HMO Billing)

Location: Lekki, Lagos
Industry: Healthcare (Diagnostics)
Reports To: Finance Officer
Salary: 250000

Job Summary

The Accounts Receivable Officer is responsible for managing the organization's accounts receivable function, overseeing HMO operations and claims management activities, and ensuring efficient revenue cycle processes. The role focuses on accurate billing, timely claims submission, effective debt recovery, account reconciliation, and maintaining optimal cash flow through prompt collections from HMOs, insurance providers, and corporate clients.

Key Responsibilities

Accounts Receivable and Billing

• Prepare, review, and process HMO and corporate client invoices accurately and within approved timelines.
• Ensure all claims submissions are supported by complete and accurate documentation.
• Coordinate the timely submission of bills and claims to HMOs, insurance providers, and corporate organizations.
• Maintain accurate records of receivables, billing schedules, claims, and HMO transactions.
• Post customer and HMO payments accurately within the accounting system.

Claims Management and Collections

• Monitor outstanding invoices, claims, and receivables to ensure prompt payment.
• Follow up on overdue accounts and implement collection strategies to improve cash flow.
• Investigate and resolve rejected, disputed, underpaid, or delayed claims.
• Escalate long-outstanding debts and unresolved receivable issues as required.
• Liaise with HMOs regarding authorization issues, tariff discrepancies, capitation matters, and payment reconciliations.

Reconciliation and Reporting

• Reconcile HMO statements with internal billing records and payment schedules.
• Generate receivables aging reports and provide regular updates on outstanding debts.
• Prepare periodic reports on claims submissions, collections performance, receivables status, and payment trends.
• Analyze billing discrepancies and recommend corrective actions to improve revenue recovery.

Compliance and Stakeholder Management

• Ensure compliance with internal financial controls, billing policies, and operational procedures.
• Maintain strict confidentiality of patient, client, and financial information.
• Support internal and external audits by providing relevant billing and receivable documentation.
• Collaborate with clinical, operations, and finance teams to ensure seamless billing and payment processes.
• Adhere to all company policies, procedures, and ethical standards.

Qualifications and Experience

Education

• Bachelor's Degree or HND in Accounting, Finance, Economics, or a related discipline.
• Professional accounting or finance certifications will be an added advantage.

Experience

• Minimum of 2–4 years of relevant experience in Accounts Receivable, HMO Operations or a similar role within a healthcare organization.
• Practical experience in claims management, debt recovery, and account reconciliation.
• Working knowledge of healthcare revenue cycle management and HMO billing processes.
• Experience using accounting software and hospital management systems.

Knowledge and Skills

Technical Knowledge

• Strong understanding of HMO billing processes and healthcare receivables management.
• Knowledge of reconciliation procedures and financial reporting.
• Understanding of financial controls and documentation requirements.
• Ability to analyze payment trends, billing discrepancies, and collection performance.

Core Skills

• Excellent written and verbal communication skills.
• Strong analytical and problem-solving abilities.
• High level of accuracy and attention to detail.
• Effective negotiation, follow-up, and relationship management skills.
• Strong organizational and time management skills.
• Proficiency in Microsoft Office Suite, accounting software, and hospital management systems.
• Ability to work under pressure and meet deadlines.

Personal Attributes

• High level of integrity, professionalism, and confidentiality.
• Strong interpersonal and stakeholder management skills.
• Team-oriented with the ability to collaborate across departments.
• Self-motivated, proactive, and results-driven.
• Strong organizational and record-keeping capabilities.
• Demonstrates accountability, reliability, and a commitment to continuous improvement.

Key Performance Indicators (KPIs)

• Timeliness of invoice preparation and claims submission.
• Reduction in accounts receivable days outstanding.
• Percentage recovery of submitted claims.
• Accuracy of billing, payment posting, and reconciliation records.
• Reduction in rejected, disputed, or underpaid claims.
• Collection efficiency from HMOs, insurance providers, and corporate accounts.
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  subject: Accounts Receivable Officer (HMO Billing)