Front Desk/HMO Officer at Silver Cross Healthcare and Diagnostics Centre

Job Summary:
 
Silver Cross Healthcare and Diagnostics is seeking a professional, organized, and friendly individual to join our team as a Front Desk/HMO Officer. This role is pivotal in ensuring a welcoming experience for our patients and visitors, as well as facilitating smooth interactions with Health Maintenance Organizations (HMOs). The ideal candidate will have excellent communication skills, a warm demeanor, and the ability to handle multiple tasks effectively in a fast-paced healthcare setting.
 
Key Responsibilities:
 
Front Desk Duties:

• Patient and Visitor Reception: Welcome patients and visitors, providing guidance and information as needed.
• Phone Management: Answer, screen, and direct incoming calls professionally.
• Appointment Scheduling: Schedule and confirm patient appointments accurately, ensuring correct entry in the scheduling system.
• Patient Registration and Documentation: Manage patient check-in, update records, and verify required documentation is completed.
• Inquiries on Services: Address questions regarding hospital services, policies, and procedures.
• Reception Area Upkeep: Maintain a clean, organized, and welcoming reception area.
• Team Coordination: Collaborate with medical and administrative staff to ensure efficient patient flow.
• Billing and Payment Processing: Handle payments and respond to billing inquiries accurately.

HMO Officer Duties:

• HMO Liaison: Serve as the primary point of contact for HMO-related matters, managing communications between the hospital and HMO representatives.
• Patient Verification: Verify HMO eligibility and benefits for patients, ensuring accurate patient information and entitlements.
• Authorization and Approvals: Obtain necessary authorizations and approvals from HMOs for specific services or treatments.
• Claims Management: Assist in preparing, submitting, and tracking claims with HMOs, following up on pending or rejected claims to ensure prompt payment.
• Billing Coordination: Work with the billing team to ensure accurate invoicing and timely processing of HMO payments.
• Reporting: Generate reports on HMO-related activities, including patient statistics, claims status, and outstanding balances.

Qualifications:

• Minimum of an OND (Ordinary National Diploma) or equivalent in a related field.
• Experience in healthcare, customer service, or HMO coordination is preferred.
• Excellent verbal and written communication skills with a friendly, professional demeanor.
• Strong organizational skills with keen attention to detail.
• Proficiency in basic computer applications, including MS Office and scheduling/billing software.
• Ability to maintain confidentiality and demonstrate professionalism in high-pressure situations.