We are recruiting to fill the position below:
Job Title: HMO (Billing) Officer
Location: Lagos
Employment Type: Full-time
Responsibilities
- Manage the hospital’s Health Maintenance Organization (HMO) relationships, including processing claims, verifying eligibility, and coordinating payments.
- Ensure accurate and timely billing of medical services provided to patients, including inpatient, outpatient, and ancillary services.
- Verify insurance coverage and benefits for patients, obtaining pre-authorizations and referrals as necessary.
- Review medical records and documentation to ensure compliance with billing regulations and coding guidelines.
- Generate and submit insurance claims electronically or via paper submission, following up on outstanding claims and denials as needed.
- Respond to inquiries from patients, insurance companies, and government agencies regarding billing and insurance-related matters.
requirements
- Education: A Bachelor’s Degree in Healthcare Administration, Business Administration, Finance, or a related field is typically required. Some positions may prefer candidates with a master’s degree or relevant certifications.
- Experience: Previous experience in healthcare administration, insurance coordination, or HMO management is highly desirable. Candidates should ideally have 1-3 years of experience in a similar role within a healthcare setting.
- Knowledge of HMO Operations: Strong understanding of HMO operations, including claims processing, eligibility verification, pre-authorizations, and coordination of benefits.
Application Closing Date
29th February, 2024.
HOW TO APPLY
Interested and qualified candidates should send their Applications to: [email protected] using the job title as the subject of the mail.
Deadline: February 29, 2024
Job Features
Job Category | Billing Officer |