HMO / Billing Officer at We Care Hospital

Job Overview

Location
Lagos, Lagos
Job Type
Full Time
Date Posted
3 years ago

Additional Details

Job ID
3328
Job Views
122

Job Description



Key Responsibilities



  • Interact with the HMO community.

  • Maintain organized medical and employee records

  • Monitor administrative staff’s performance

  • Train new employees

  • Ensure prompt ordering and stocking of medical and office supplies.

  • Resolve potential issues with patients.

  • Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to patients/clients.

  • Conduct outreach calls as assigned to proactively educate associations, unions and members of the public on services available

  • Process complaints, following established guidelines.

  • Maintain knowledge of National guidelines, regulations, and departmental policies and practices and maintain accurate documentation for compliance.

  • Develop and implement effective policies for all operational procedures

  • Prepare work schedules


Job Requirements



  • Minimum of a First Degree (HND/B.Sc) or its equivalent in a Health or Science related field.

  • HMO Experience is required

  • Minimum of 5 years experience post-NYSC in relevant and related positions.

  • Knowledge of the operations of the National Health Insurance Scheme (NHIS)

  • Excellent customer relationship skills

  • Good communication/presentation skills (both oral and written)

  • Must be a team player, able to build and maintain an effective and collaborative network

  • Must be able to take responsibility and demonstrate a high level of integrity in dealing with all stakeholders.

  • Certification in or professional membership of health, the management or related bodies

  • Knowledge of statistical/epidemiological tools such as SPSS, Ms Power point

  • Attendance of related Courses/ workshops/seminars etc.


Required Skills:



  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or ability required.

  • Attention to detail

  • Professional development through participation in continuing education and professional Organizations.

  • Conversant with the HMO processes and Maintenance

  • Must also be good in Coordination, Listening, Scheduling and Teamwork

  • Must possess good administrative skills

  • Superior problem-solving skills

  • Ability to explain detailed instructions articulately and clearly

  • Ability to analyze information promptly

  • Exceptional customer services skills

  • Proficient in relevant computer applications

  • Knowledge of customer service principles and practices.

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