HMO Officer Job at Pruvia Integrated Limited
Pruvia Integrated Limited understands that managing human resources can be a daunting task for many organizations. This is why we have developed a range of HR services to help companies of all sizes and industries, from startups to multinational corporations.
We are recruiting to fill the position below:
Job Position: HMO Officer
Job Location: Ikeja, Lagos
Employment Type: Full-time
Industry: Healthcare
Job Description
- We are seeking a dedicated and experienced HMO Officer to join our team.
- The HMO Officer will be responsible for managing relationships with Health Maintenance Organizations (HMOs) and ensuring seamless coordination of healthcare services for patients covered by HMO plans.
- The ideal candidate will have a strong understanding of HMO processes and regulations, excellent communication skills, and the ability to work collaboratively with healthcare providers, insurance companies, and patients..
Responsibilities
- Liaise with HMOs to facilitate preauthorization and verification of insurance coverage for patients.
- Coordinate with healthcare providers to ensure proper documentation and billing procedures for HMO patients.
- Educate patients on their HMO coverage, including benefits, limitations, and copays.
- Resolve any billing or coverage disputes with HMOs to ensure timely payment for services rendered.
- Stay updated on HMO regulations and compliance requirements to ensure adherence to industry standards.
Requirements
- Bachelor's Degree in Healthcare Administration, Business Administration, or related field.
- Proven experience working in a similar role within a hospital or healthcare setting.
- Ability to multitask and work effectively in a fastpaced environment.
- Indepth knowledge of HMO processes, insurance verification, and billing procedures.
- Strong communication, negotiation, and problemsolving skills.
- Closing a minimum of 3 businesses monthly.
Salary
- N80,000 monthly (plus benefits).
Method of Application
Interested and qualified candidates should send their CV to: careers@pruviaintegrated.com using the Job Position as the subject of the mail.
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