HMO Claims Officer
1 month ago
Responsibilities
- HMO and retainership management, processes and procedures
- Explain benefits, eligibility status, enrolment processing procedures and status of authorizations and referrals to patients/clients
- Collation of HMO and retainership bills
- Correction of errors found in bills
- Reconciliation of HMO and retainership account
- Ensure daily sales are reconciled with the system for proper accounting and audit- Ensure proper invoicin
Requirements
- Ability to work with little or no supervision
- Must have a good grasp of Microsoft office tools Excel, Word, etc
- Must reside within Lagos Island and its environs.
- Must possess in-depth knowledge of HMO Business as well as account reconciliation and other related accounting tasks.
- Must have a good command of written and spoken English.
- Must be smart and possesses good interpersonal relationship.
- Must be a good manager of time, resources, people and situations
- Must know how to use EMR/EHR softwares.
- Must have relevant work experience in HMO & Billing in a healthcare facility.
- Must have experience with dealing with all stakeholders involved in HMO activities.
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