HMO Officer Job at Greenlife Hospital Limited
Greenlife Hospital is a registered, standard and a forward-thinking hospital, we pride ourselves in excellent and top-notch services, making sure our corporate partners over the years are satisfied and happy.
We are recruiting to fill the position below:
Job Position: HMO Officer
Job Location: Ilupeju, Lagos
Employment Type: Full-time
Responsibilities
- Registering of new HMO and liaising between these HMOs and the company.
- Ensuring all HMO issues are resolved promptly.
- Working on and ensuring we get the best possible tariffs from HMOs we are partnering with.
- Communicating to HMOs by writing through email for approval and any other required information or care to be given to patients.
- Authorization must be gotten at every stage of care i.e., for consultation, investigations, medications, etc
- Processing of HMO claims.
- 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
- Excellent communication skills with an ability to think creatively and innovatively.
- Sending of bills estimate for procedures to HMO and obtaining proper approvals.
- Ensuring that all the services given are paid for.
- Following up with front desk to find out services that approvals were omitted and sorting out payment with the HMO
- Following up on patients to pay for services that the insurance declined payment for.
- Ensuring that doctors document diagnosis appropriately on their request to reduce claims denial.
Salary
N120,000 Monthly.
Method of Application
Interested and qualified candidates should send their CV to: greenlifehospital02@gmail.com using the Job Position as the subject of the email.
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