About this role
The role is for an HMO Officer based in Osun, working full-time on site at Daniel Adewole Awe Medical Center in Ilesa. The officer will manage relationships with Health Maintenance Organisations, verify patient coverage, coordinate pre-authorisations, process and reconcile claims, and ensure compliance with HMO policies. The position targets individuals with familiarity in HMO operations, medical billing, claims processing, and healthcare reimbursement systems, with a background in medical technology or laboratory medicine being advantageous. The employer is a healthcare facility providing primary and secondary care services in Ilesa, Osun State. Applicants should have relevant qualifications and be able to work with clinical and administrative teams, including interaction with HMO representatives.
What you would do
- Manage relationships with Health Maintenance Organisations.
- Verify patient coverage and eligibility.
- Coordinate pre-authorisations for services.
- Process and reconcile insurance claims.
- Ensure compliance with HMO policies and agreements.
- Collaborate with clinical and administrative teams.
- Interact with patients and HMO representatives as needed.
- Maintain accurate documentation in line with procedures.
- Support quality control and reliable reporting of results as required.
- Uphold organisational standards for accuracy and timeliness.
What they are asking for
- Familiarity with HMO operations, medical billing, claims processing and healthcare reimbursement systems.
- Proficiency in basic computer applications and laboratory information systems.
- Experience in a hospital or clinical laboratory setting is an advantage.
- Bachelor’s Degree with relevant professional registration/licensure as required by regulatory bodies.
- Strong laboratory skills including specimen collection, handling, analysis and documentation.
- Experience with quality control processes, calibration and validation of results.
- Effective communication and interpersonal skills for collaboration with teams and patients.
- Strong attention to detail, analytical thinking and problem-solving abilities.
- Knowledge of pathology and related clinical disciplines to interpret test results.
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