HMO Officer at Chion Family Medical Centre

Chion Family Medical Centre is committed to delivering excellent patient-centered healthcare services that meet the health needs of individuals and families within and beyond our community.

We are recruiting to fill the position below:

Job Title: HMO Officer

Location: Lagos
Employment Type: Full time

Job Description

• We are seeking a dedicated and experienced HMO Officer to join our team.
• The HMO Officer will be responsible for managing relationships with Health Maintenance Organizations (HMOs) and ensuring seamless coordination of healthcare services for patients covered by HMO plans.
• The ideal candidate will have a strong understanding of HMO processes and regulations, excellent communication skills, and the ability to work collaboratively with healthcare providers, insurance companies, and patients..

Responsibilities

• Liaise with HMOs to facilitate pre-authorization and verification of insurance coverage for patients.
• Coordinate with healthcare providers to ensure proper documentation and billing procedures for HMO patients.
• Educate patients on their HMO coverage, including benefits, limitations, and co-pays.
• Resolve any billing or coverage disputes with HMOs to ensure timely payment for services rendered.
• Stay updated on HMO regulations and compliance requirements to ensure adherence to industry standards.

Requirements

• Bachelor's Degree in Healthcare Administration, Business Administration, or related field.
• Proven experience working in a similar role within a hospital or healthcare setting.
• In-depth knowledge of HMO processes, insurance verification, and billing procedures.
• Strong communication, negotiation, and problem-solving skills.
• Ability to multitask and work effectively in a fast-paced environment.

Application Closing Date
30th December, 2023.

How to Apply
Interested and qualified candidates should send their CV to: admin@chionfmc.com using the Job Title as the subject of the mail.