• Application Deadline:
• Position: Case Manager / Billing Officer


• Job Type Full Time


• Qualification BA/BSc/HND


• Experience 1 - 3 years


• Location Delta


• City Warri


• Job Field Finance / Accounting / Audit 
  

Job Summary

• The Case Manager / Billing officer is responsible for the day to day operational activities of the HMO department in the area of communicating relevant information to HMO clients and the organizations service units.


• The role is also responsible for managing the health insurance service desk which includes client servicing and generating bills from HMOs.

Responsibilities

• Developing and improving on existing HMO policies and procedures within the organization to improve the customer/patient experience.


• Engage LILY HMO by communicating usage of their policies within a time frame as provided in the HMO policy of the organization


• Ensure valid and accurate medical reports for all HMO clients are sent on time.


• Approved pre-authorization request to enrollees upon request by the HMO client relation officers on a daily basis


• Collaboration with human resources team to ensure all patients eligibility is cleared.


• Ensure that there is full customer satisfaction for all cadre


• Effective Communication regarding entitlements, coverage and exclusions at all times


• Ensure full compliance and execution with the organizations tariff at all times


• Ensure that all financial and operational data are reported monthly.


• Ensure full patients’ confidentiality.

The Person

• Minimum academic qualification of a B.Sc or HND in a Sciences or other related fields.


• 1 - 3 years relevant work experience in case management or billing.


• Understand basic clinical diagnosis


• Excellent customer service skills


• Excellent business analysis, communication and people management skills


• Full working Knowledge of the Microsoft office package is required especially with spreadsheet software (Excel).


• Great interpersonal skills


• Excellent writing and communication skills.