HMO Billing & Administrative Officer at Viewpoint Hospital

We are seeking a detail-oriented and proactive HMO Billing & Administrative Officer to manage HMO billing processes while supporting day-to-day administrative operations. The ideal candidate will ensure accurate claims processing, efficient office coordination, and smooth communication between patients, HMOs, and internal teams.

Key Responsibilities:

• Prepare and submit HMO claims accurately and on time
• Verify patient eligibility and HMO coverage
• Follow up on outstanding claims and resolve rejections/denials
• Reconcile HMO payments and maintain billing records
• Liaise with HMOs on billing issues and approvals
• Ensure compliance with billing guidelines and policies
• Handle office administrative tasks
• Maintain patient records and documentation systems
• Coordinate appointments and support patient scheduling
• Manage correspondence (emails, calls, and official documents)
• Support other departments with administrative needs

Job Requirements:

• Bachelor’s degree in Accounting, Business Administration, Health Information Management, or related field
• Proven experience in HMO billing and/or administrative roles
• Good understanding of HMO processes and healthcare operations
• Proficiency in Microsoft Office (especially Excel and Word)
• Strong organizational and multitasking skills
• Excellent communication and interpersonal skills

Preferred Qualifications

• Experience in a hospital, clinic, or healthcare setting
• Familiarity with medical billing software
• Ability to work efficiently in a fast-paced environment