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.