HMO / Billing Officer at We Care Hospital

Key Responsibilities

• Interact with HMO community.
• Maintain organized medical and employee records
• Monitor administrative staff’s performance
• Train new employees
• Ensure prompt ordering and stocking of medical and office supplies.
• Resolve potential issues with patients.
• Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to patients/clients.
• Conduct outreach calls as assigned to proactively educate associations, unions and members of the public on services available
• Process complaints, following established guidelines.
• Maintain knowledge of National guidelines, regulations, and departmental policies and practices and maintain accurate documentation for compliance.
• Develop and implement effective policies for all operational procedures
• Prepare work schedules

Job Requirements

• Minimum of First Degree (HND/B.Sc) or its equivalent in Health or Science related field.
• HMO Experience is required
• Knowledge of the operations of the National Health Insurance Scheme (NHIS)
• Excellent customer relationship skills
• Good communication/presentation skills (both oral and written)
• Must be a team player, able to build and maintain effective and collaborative network
• Must be able to take responsibility and demonstrate high level of integrity in dealing with all stakeholders.
• Certification in or professional membership of health, management or related bodies
• Knowledge of statistical/epidemiological tools such as SPSS, Ms Power point
• Minimum of 5 years experience post NYSC in relevant and related position.
• Attendance of related Courses/ workshops/seminars etc

Required Skills:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or ability required.
• Attention to detail
• Professional development through participation in continuing education and professional Organizations.
• Conversant with the HMO processes and Maintenance
• Must also be good in Coordination, Listening, Scheduling and Teamwork
• Must possess good administrative skills
• Superior problem solving skills
• Ability to explain detailed instructions articulately and clearly
• Ability to analyze Information promptly
• Exceptional customer services skills
• Proficient in relevant computer applications
• Knowledge of customer service principles and practices
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