HMO / Billing Officer at CarePoint Hospitals Limited

Job Summary

• The HMO / Billing Officer is responsible for managing HMO claims, patient billing, and accounts receivable processes.
• The role ensures accurate claim submissions, timely payment collection from HMOs and patients, and compliance with hospital financial policies, contributing to the hospital’s revenue integrity.

Key Responsibilities

• Prepare, verify, and submit HMO claims according to contractual agreements.
• Generate accurate patient invoices for services rendered.
• Track and follow up on outstanding HMO and patient payments.
• Reconcile HMO payments and resolve discrepancies or denials.
• Maintain proper documentation of all billing and claims activities.
• Collaborate with internal departments (Clinical, Customer Service, Finance) to ensure accurate billing.
• Respond professionally to HMO representatives’ and patients’ billing inquiries.
• Assist in reporting and analysis of billing performance and outstanding receivables.

Requirements

• Bachelor’s Degree in Accounting, Finance, Business Administration, or related field.
• Prior experience in HMO claims processing, medical billing, or healthcare finance preferred.
• Strong numerical, analytical, and attention-to-detail skills.
• Excellent communication and interpersonal skills.
• Proficiency in Microsoft Excel and accounting or billing software.
• Ability to work under deadlines and collaborate effectively with teams.

What We Offer

• Competitive and attractive salary package
• Health insurance and pension benefits
• Structured work schedule to promote work-life balance
• Continuous professional development and training opportunities
• Clear career growth pathway within the organization
• Supportive, collaborative, and people-centric work culture.