HMO Officer at Greenlife Hospital


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.

We are recruiting to fill the position below:

Job Title: HMO Officer

Location: Okota, 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.
  • 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.

Application Closing Date
24th January, 2025.

How to Apply
Interested and qualified candidates should send their CV to: greenlifehospital02@gmail.com using the Job Title as the subject of the mail.