About this role
The position is a full-time HMO Officer based on site in Ilesa, Osun State, at Daniel Adewole Awe Medical Center. The role involves managing relationships with Health Maintenance Organisations, confirming patient coverage, coordinating pre-authorisations, processing and reconciling claims, and ensuring adherence to HMO policies and agreements. The employer provides primary and secondary healthcare services and operates a clinical laboratory setting. The candidate should have a strong background in Medical Technology and Laboratory Medicine, with hands-on laboratory skills and familiarity with HMO operations and medical billing. Effective communication, analytical thinking, and attention to detail are essential for working with clinical, administrative teams and HMO representatives.
What you would do
- Manage relationships with Health Maintenance Organisations.
- Verify patient coverage and eligibility.
- Coordinate pre-authorisations.
- Process and reconcile HMO claims.
- Ensure compliance with HMO policies and agreements.
- Maintain accurate documentation and records.
- Coordinate with clinical and administrative teams as needed.
- Support interpretation of test results in clinical decisions.
- Assist with quality control and laboratory procedures as required.
- Communicate with patients and HMO representatives clearly.
What they are asking for
- Bachelor's degree with relevant professional registration/licensure as required by regulatory bodies.
- Strong foundation in Medical Technology and Laboratory Medicine.
- Demonstrated laboratory skills including specimen collection, handling, analysis and documentation.
- Knowledge of pathology and related clinical disciplines.
- Experience with quality control processes, calibration and validation.
- Familiarity with HMO operations, medical billing and claims processing.
- Proficiency in basic computer applications and laboratory information systems.
- Experience in a hospital or clinical laboratory setting is an advantage.
- Strong attention to detail, analytical thinking and problem-solving skills.
- Effective communication and interpersonal skills.
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