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  • Posted: Feb 13, 2024
    Deadline: Feb 29, 2024
  • Never pay for any CBT, test or assessment as part of any recruitment process. When in doubt, contact us

    Zael Consulting is basically a recruitment firm. We offer clients and candidates the confidence of specialist recruiters the have the depth and breath of experience across key sectors.
    Read more about this company


    HMO (Billing) Officer


    • Manage the hospital's Health Maintenance Organization (HMO) relationships, including processing claims, verifying eligibility, and coordinating payments.
    • Ensure accurate and timely billing of medical services provided to patients, including inpatient, outpatient, and ancillary services.
    • Verify insurance coverage and benefits for patients, obtaining pre-authorizations and referrals as necessary.
    • Review medical records and documentation to ensure compliance with billing regulations and coding guidelines.
    • Generate and submit insurance claims electronically or via paper submission, following up on outstanding claims and denials as needed.
    • Respond to inquiries from patients, insurance companies, and government agencies regarding billing and insurance-related matters.


    • Education: A Bachelor's Degree in Healthcare Administration, Business Administration, Finance, or a related field is typically required. Some positions may prefer candidates with a master's degree or relevant certifications.
    • Experience: Previous experience in healthcare administration, insurance coordination, or HMO management is highly desirable. Candidates should ideally have 1-3 years of experience in a similar role within a healthcare setting.
    • Knowledge of HMO Operations: Strong understanding of HMO operations, including claims processing, eligibility verification, pre-authorizations, and coordination of benefits.

    Method of Application

    Interested and qualified candidates should send their Applications to: using the job title as the subject of the mail.

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