HMO / Admin Officer at Amy Consulting

Key Responsibilities

HMO Liaison & Authorizations

• Act as the primary point of contact for Health Management Organisations (HMOs)
• Verify patient coverage and obtain treatment authorizations
• Resolve HMO-related issues and disputes

Billing & Claims Management

• Prepare, submit, and track medical claims accurately and promptly
• Follow up on outstanding claims
• Handle rejected or disputed claims to ensure reimbursement

Patient Verification

• Confirm patient insurance eligibility and benefits before or during visits
• Ensure proper documentation for all HMO-related services

Documentation & Record Management

• Maintain accurate and confidential records of HMO transactions, patient services, and payments
• Ensure compliance with internal policies and healthcare regulations

Administrative Support

• Manage front desk operations and handle inquiries
• Schedule and coordinate patient appointments
• Liaise with clinical and administrative teams for smooth service delivery

Requirements & Skills

Education

• Bachelor’s degree in health information management, Business Administration, Accounting, or a related field

Experience

• 1–3 years of experience in HMO billing, customer service, or healthcare administration

Technical Skills

• Proficiency in Microsoft Office Suite (especially Excel)
• Familiarity with hospital management software

Soft Skills

• Strong attention to detail and accuracy
• Excellent communication and interpersonal skills
• Good problem-solving and conflict resolution abilities
• Ability to work under pressure and manage multiple tasks