• Application Deadline:
• Position: HMO Officer



• Job Type Full Time



• Qualification BA/BSc/HND



• Experience 2 - 4 years



• Location Lagos




• Job Field Administration / Secretarial 
  
  

Job Description

• Registering of new HMO and liaising between these HMOs and the company.


• Ensuring all HMO issues are resolved promptly.


• Working on and ensuring we get the best possible tariffs from HMOs we are partnering with.


• Acting as intermediary between our clients and our HMO partners


• Getting of approval codes for eligible patient by filling in the requested services on the HMO portal


• Communicating to HMOs by writing through email for approval and any other required information or care to be given to patients.


• Authorization must be gotten at every stage of care i.e., for consultation, investigations, medications, etc


• Processing of HMO claims.


• Excellent communication skills with an ability to think creatively and innovatively.


• Sending of bills estimate for procedures to HMO and obtaining proper approvals.


• Ensuring that all the services given are paid for.


• Following up with front desk to find out services that approvals were omitted and sorting out payment with the HMO


• Following up on patients to pay for services that the insurance declined payment for.


• Ensuring that doctors document diagnosis appropriately on their request to reduce claims denial.

Requirements

• Candidates should possess a Bachelor's Degree with 2 - 4 years work experience.