HMO Associate at Lily Hospitals Limited

Job Summary

• The HMO Associate is responsible for the day to day operational activities of the customer service unit as it relates to HMO department in the area of communicating relevant information to HMO clients and the organization’s service units.
• The role is also responsible for managing the health insurance service desk which includes client servicing and the collaboration for new businesses and the expansion of existing client portfolio.

Key Result Areas (KRA)
The key result areas of this role are:

• Design, implement and continuously improve the overall customer experience
• Foster customer loyalty.

Key Responsibilities

• Ensure all monthly invoices are dispatched before the commencement of subsequent billing cycle.
• Maintain accurate records by saving all invoices in secured hard drives.
• Prepare customer/patient invoices for sales and services rendered by the organization.
• Collaborate with the Credit Control Unit by availing records to help them work effectively.
• Ensure that all services within the organization have monetary value at all time.
• Ensure that the approved tariff is executed for all transactions at all times
• Ensure that there is full satisfaction for both internal and external customers
• Ensure that all invoices that exit the facility have a form of acknowledgement, either in hard copies, soft copies or documented phone agreements
• Support the Head of Department in contracts and tariff reviews periodically
• Ensure that all financial and operational data are reported monthly
• Ensure full patients’ confidentiality
• Uploading and Coding of all Invoices/Claims required by Clients in claims processing and submission.
• Perform any other tasks assigned to you by Senior Leadership.

Job Requirements
Education:

• Minimum Requirement: HND / BSc in Business or any related degree.

Experience:

• Minimum Requirement: 1 year
• Added Advantage: > 2 Years