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    • Liaison: Serve as the primary point of contact between the hospital/clinic and various HMOs.
    • Typically 1-2 years of hands-on experience in medical billing,…
    • View all Inspired Apparel jobs - Lagos jobs
    • Salary Search: HMO Officer salaries
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    • It's fast, hands-on, and mostly conversational , you'll be on calls…
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    • Our client, a reputable healthcare organization, is seeking an experienced Clinic Operations Manager to oversee the day-to-day operations of its industrial…
    • Current registration and valid practicing license from the Nursing and Midwifery Council of Nigeria.
    • Minimum of three (3) years' post-qualification clinical…
    • The Healthcare Assistant (HCA) provides essential clinical and non-clinical support to healthcare professionals to ensure the delivery of safe, compassionate,…
    • Proficiency in Microsoft Office and hospital management software.
    • Previous experience in customer service or hospital reception is an advantage.
    • Confidentiality & Compliance: Ensuring compliance with data protection laws and hospital policies regarding patient privacy.
    • Deliver fast, accurate, and empathetic support across chat, voice, and email.
    • Resolve shift, payment, onboarding, and platform-related issues in real time.
    • The ideal candidate will manage front-desk operations, attend to customers, handle orders and enquiries, and support the day-to-day operations of the bakery/…
    • Liaise with hospitals, clinics, and healthcare providers.
    • Have proven experience working with HMOs, hospitals, clinics, or healthcare insurance organizations.
    • The Healthcare Assistant (HCA) provides essential clinical and non-clinical support to healthcare professionals to ensure the delivery of safe, compassionate,…
    • The successful candidate will be responsible for providing high-quality nursing and midwifery care to patients, supporting safe clinical practice, monitoring…
    • Emergency Management: Implement emergency protocols swiftly in critical situations (e.g., severe allergic reactions, asthma attacks, injuries) and coordinate…

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Job Post Details

HMO Officer - job post

Inspired Apparel
Lagos
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Job details

Job type

  • Full-time

Location

Lagos

Full job description

Job summary

An HMO Officer manages the relationship between patients, healthcare providers, and Health Maintenance Organizations (HMOs). They facilitate seamless access to care by verifying insurance eligibility, obtaining treatment approvals (pre-authorizations), managing medical claims, and resolving billing disputes.

Min Qualification: HND Experience Level: Entry level Experience Length: 1 year Language Requirement: English Working Hours: Full Time - 8 to 5 Applicant Location: Lagos, Nigeria

Job descriptions & requirements

Responsibilities:

  • Verification & Pre-authorization: Confirm patient coverage and obtain necessary approval codes from HMOs for consultations, medications, and medical procedures.
  • Claims Management: Prepare, submit, and track accurate medical bills and claims to insurance providers.
  • Liaison: Serve as the primary point of contact between the hospital/clinic and various HMOs.
  • Dispute Resolution: Follow up on unpaid invoices and resolve rejected or delayed claims to minimize financial loss.
  • Customer Service: Address patient and HMO inquiries regarding coverage status, billing discrepancies, and medical expressions.


Requirements:

  • Minimum of an HND in Healthcare Administration, Public Health, Nursing, Accounting, Finance, or Business Administration.
  • Typically 1-2 years of hands-on experience in medical billing, claims processing, or HMO management within a hospital or insurance setting.
  • Strong understanding of medical coding, proficiency in Microsoft Office (specifically Excel), excellent negotiation skills, and close attention to detail.
  • Outstanding verbal and written communication, strong problem-solving skills, and the ability to multitask in a fast-paced healthcare environment.
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