HMO (Billing) Officer at Zael Business Management & Consulting

Zael Consulting is basically a recruitment firm. We offer clients and candidates the confidence of specialist recruiters the have the depth and breadth of experience across key sectors.

We are recruiting to fill the position below:

Job Title: HMO (Billing) Officer

Location: Lagos
Employment Type: Full-time

Responsibilities

• Manage the hospital's Health Maintenance Organization (HMO) relationships, including processing claims, verifying eligibility, and coordinating payments.
• Ensure accurate and timely billing of medical services provided to patients, including inpatient, outpatient, and ancillary services.
• Verify insurance coverage and benefits for patients, obtaining pre-authorizations and referrals as necessary.
• Review medical records and documentation to ensure compliance with billing regulations and coding guidelines.
• Generate and submit insurance claims electronically or via paper submission, following up on outstanding claims and denials as needed.
• Respond to inquiries from patients, insurance companies, and government agencies regarding billing and insurance-related matters.

requirements

• Education: A Bachelor's Degree in Healthcare Administration, Business Administration, Finance, or a related field is typically required. Some positions may prefer candidates with a master's degree or relevant certifications.
• Experience: Previous experience in healthcare administration, insurance coordination, or HMO management is highly desirable. Candidates should ideally have 1-3 years of experience in a similar role within a healthcare setting.
• Knowledge of HMO Operations: Strong understanding of HMO operations, including claims processing, eligibility verification, pre-authorizations, and coordination of benefits.

Application Closing Date
29th February, 2024.

How to Apply
Interested and qualified candidates should send their Applications to: [email protected] using the job title as the subject of the mail.