HMO Officer
Apply at sourceAI summary
An HMO Officer manages the relationship between patients, healthcare providers, and HMOs. They handle insurance eligibility verification, pre-authorizations, claims management, and billing disputes. Requires HND and 1-2 years experience in medical billing or HMO management.
- Manage patient-HMO-provider relationships
- Verify insurance and obtain pre-authorizations
- Handle claims and billing disputes
- Entry level role with 1-2 years experience
- Full-time position with salary NGN 70,000 - 150,000
Description
Find a Job + + + + Search HMO Officer Inspired Apparel Health & Safety 4 days ago Easy apply New Nigeria Full Time Healthcare NGN 70,000 - 150,000 Share link Share on WhatsApp Share on LinkedIn Share on Facebook Share on Twitter Share via SMS Job summary An HMO Officer manages the relationship between patients, healthcare providers, and Health Maintenance Organizations (HMOs). They facilitate seamless access to care by verifying insurance eligibility, obtaining treatment approvals (pre-authorizations), managing medical claims, and resolving billing disputes. Min Qualification: HND Experience Level: Entry level Experience Length: 1 year Language Requirement: English Working Hours: Full Time - 8 to 5 Applicant Location: Lagos, Nigeria Job descriptions & requirements Responsibilities: Verification & Pre-authorization: Confirm patient coverage and obtain necessary approval codes from HMOs for consultations, medications, and medical procedures. Claims Management: Prepare, submit, and track accurate medical bills and claims to insurance providers. Liaison: Serve as the primary point of contact between the hospital/clinic and various HMOs. Dispute Resolution: Follow up on unpaid invoices and resolve rejected or delayed claims to minimize financial loss. Customer Service: Address patient and HMO inquiries regarding coverage status, billing discrepancies, and medical expressions. Requirements: Minimum of an HND in Healthcare Administration, Public Health, Nursing, Accounting, Finance, or Business Administration. Typically 1-2 years of hands-on experience in medical billing, claims processing, or HMO management within a hospital or insurance setting. Strong understanding of medical coding, proficiency in Microsoft Office (specifically Excel), excellent negotiation skills, and close attention to detail. Outstanding verbal and written communication, strong problem-solving skills, and the ability to multitask in a fast-paced healthcare environment. Log In and Apply Important safety tips Do not make any payment without confirming with the Jobberman Customer Support Team. If you think this advert is not genuine, please report it via the Report Job link below. Report Job Log in to apply now Continue with Google Continue with Linkedin Or continue with Forgot Password? Keep me logged in Log in Don't have an account? Sign Up to Apply Share link Share on WhatsApp Share on LinkedIn Share on Facebook Share on Twitter Share via SMS Activate Notifications Stay productive - get the latest updates on Jobs & News Activate Deactivate Notifications Stop receiving the latest updates on Jobs & News Deactivate This action will pause all job alerts. Are you sure? Cancel Proceed Similar jobs Lorem ipsum dolor sit amet consectetur adipiscing elit Lorem ipsum Lorem ipsum dolor (Location) Lorem ipsum Confidential 3 years ago Lorem ipsum dolor sit amet consectetur adipiscing elit Lorem ipsum Lorem ipsum dolor (Location) Lorem ipsum Confidential 3 years ago View More Stay Updated Join our newsletter and get the latest job listings and career insights delivered straight to your inbox. v2.homepage.newsletter_signup.choose_type Jobseeker Employer Email address * We care about the protection of your data. Read our Notify Me We care about the protection of your data. Read our privacy policy .