HMO Billing / Receivable Officer at Soteria Eye Clinic

• We are seeking a detail-oriented and organized HMO Billing/Receivable Officer to manage health insurance billing processes, claims submissions, and receivables within our healthcare facility.
• The ideal candidate will ensure accurate documentation, timely processing of claims, and effective follow-up on outstanding payments from HMOs and corporate clients.

Key Responsibilities

• Prepare and process HMO claims and invoices accurately and timely
• Verify patient eligibility and treatment authorization with HMOs
• Ensure proper documentation of patient records, invoices, and claims submissions
• Follow up on outstanding payments and reconcile receivables
• Resolve billing discrepancies and denied claims promptly
• Maintain accurate records of payments, outstanding invoices, and account status
• Liaise with HMOs, corporate organizations, and internal departments regarding billing matters

Requirements

• Minimum B.Sc Health Information Management, or related field
• Previous experience in HMO billing, medical billing, or healthcare receivables is preferred
• Good understanding of HMO processes and healthcare billing systems
• Excellent communication and negotiation skills
• High level of accuracy and attention to detail
• Ability to work independently and meet deadlines.