HMO Officer

Responsibilties

• Liaise with HMOs, retainerships, and corporate organizations to confirm patient eligibility and pre-authorizations.
• Ensure proper documentation and processing of bills for HMO and insurance patients.
• Monitor and follow up on all outstanding claims to ensure timely reimbursement.
• Educate patients on HMO coverage, exclusions, and procedures where necessary.
• 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.

Requirements

• Interested candidates should possess an HND / Bachelor’s Degree with 3 - 5 years experience.
• Applicants must reside within Egbeda and its environs.