HMO Billing Officer at Vima Hospital – Syx-Brij Nigeria Limited

Job Title: HMO Billing Officer 

Responsibilities
HMO Liaison:

• Serve as the primary point of contact between Vima Hospital and Health Maintenance Organizations.
• Manage communication, negotiations, and relationship-building with HMO representatives.

Verification and Authorization:

• Verify patient eligibility and coverage with HMOs.
• Obtain necessary authorizations for medical procedures, tests, and treatments covered by HMO plans.

Billing and Claims:

• Ensure accurate and timely submission of patient claims to HMOs.
• Coordinate with the billing department to resolve any discrepancies or issues related to HMO billing.

Documentation and Record-Keeping:

• Maintain comprehensive and up-to-date records of HMO-related transactions, authorizations, and communications.
• Prepare reports on HMO utilization, claims, and reimbursement.

Educational Outreach:

• Educate patients on their HMO coverage, benefits, and responsibilities.
• Provide guidance on navigating HMO processes and requirements.

Conflict Resolution:

• Address and resolve any issues or disputes between Lifeshade Hospital and HMOs.
• Collaborate with internal departments to ensure compliance with HMO agreements.

Compliance:

• Stay abreast of changes in HMO policies, regulations, and industry trends.
• Ensure hospital practices align with HMO contractual agreements and regulatory requirements.

Qualifications

• Bachelor’s Degree in Healthcare Administration, Business Administration, or a related field can be a bonus.
• Proven experience working in a similar role within the healthcare industry.
• In-depth knowledge of HMO processes, policies, and regulations.
• Strong communication and negotiation skills.
• Detail-oriented with excellent organizational and problem-solving abilities.
• Ability to work collaboratively in a fast-paced healthcare environment.

Remuneration

• Competitive salary and benefits package, including health insurance, retirement plan, and vacation time.

Application Instructions:

The application deadline is 4th April, 2025. Therefore, qualified and interested candidates can “CLICK HERE TO SUBMIT APPLICATION” It is important to visit the official website (link found below) for detailed information on how to apply successfully for this vacancy.