HMO / NHIS Officer at St Dominic Catholic Hospital

Job Overview

Location
Lagos, Oyo
Job Type
Full Time
Date Posted
22 hours ago

Additional Details

Job ID
130659
Job Views
23

Job Description






Key Responsibilities




  • Oversee the entire billing process for health insurance claims, ensuring accurate and timely submission to insurance providers (HMOs).

  • Ensure proper documentation for insurance claims, including medical coding, billing codes, and patient information.

  • Resolve any discrepancies or issues with rejected claims, working closely with insurance companies and healthcare



Compliance & Documentation:




  • Maintain accurate records of all billing transactions, claims, and payments.

  • Stay updated on changes in healthcare insurance Policies.



Customer Service & Dispute Resolution:




  • Handle inquiries from insurance companies, patients, and other stakeholders regarding billing issues, claims status, and payments.

  • Work closely with the patient services department to resolve any billing-related concerns, ensuring a positive patient experience.

  • Resolve billing disputes and follow up on unpaid claims to ensure timely and accurate payments.

  • Prepare and process medical expressions and related documents.

  • Maintain accurate insurance records and ensure timely follow-ups.

  • Collaborate with departments and liaise with insurance companies effectively.



Requirements




  • Minimum of 1years of relevant experience.

  • Proficiency in MS Office Suite (Word, Excel, PowerPoint).

  • Excellent communication, attention to detail, and organizational skills.



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