Health Maintenance Organization (HMO) Officer at Oyomesi Hospital

Location: Orogun, Ibadan.

Job Summary:

Oyo Mesi Specialist Hospital is seeking a detail-oriented and proactive HMO Officer with at least 2 years of experience in a health facility. The successful candidate will be responsible for managing HMO processes, ensuring accurate billing, and maintaining strong relationships with HMOs and patients to facilitate seamless healthcare delivery.

Key Responsibilities:

• Manage and coordinate all HMO activities within the hospital.
• Process and reconcile HMO claims efficiently.
• Ensure proper documentation and filing of all HMO-related transactions.
• Serve as a liaison between the hospital, patients, and HMO companies.
• Verify patient eligibility and confirm approvals for treatments.
• Monitor outstanding claims and follow up on pending payments.
• Maintain accurate records and reports for management.

Requirements:

• Minimum of 2 years’ experience in a health facility, specifically handling HMO operations.
• Good knowledge of HMO procedures, billing, and claims management.
• Strong organizational and multitasking skills.
• Excellent communication and interpersonal abilities.
• Proficiency in Microsoft Office tools is an advantage.