HMO Officer (Ilupeju)

  • Full Time
  • Lagos
  • 120,000 Naira / Month
  • Applications have closed.

Greenlife Hospital

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.

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.
  • 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
  • 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.
  • 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.

How to Apply

Interested and qualified candidates should send their CV to: greenlifehospital02@gmail.com using the job title as the subject of the email.