Address14th Floor, St. Nicholas House, 26 Catholic Mission Street, Lagos
About MetroHealth HMO Limited
MetroHealth HMO Limited is a Health Maintenance Organization which has been established with the objective of becoming the HMO of choice for corporate entities and all subscribing enrolees, who want good quality healthcare accessed through a technology enabled platform that will enhance the whole cu... read morestomer experience. The platform has been configured towards administering efficient patient centred services.
Our focus is on quality and service delivery, ensuring prompt, personalized and seamless quality healthcare support services to our clients, both young, middle age and old.
Technology drives our operations as it undergirds our operational efficiencies and provides access to timely data which is beneficial to both providers and enrolees. Several technology portals are made available through controlled access for enrolees to view and manage their health data, and for providers to submit and receive payment for services delivered.
About the job
The Underwriting specialist will analyze medical products, concepts and rating techniques.
The ultimate goal is preparation for accurately quantifying risk and return of prospect
This is a full-time hybrid role for a Call Center Executive at MetroHealthHMO. The Call Center Executive will be responsible for the following:
Receive calls from Clients, Providers and Staff
Role Description
The Medical Claims Specialist would be responsible for managing claims and approvals processes, and the scope of work includes vetting health insurance claims and approval
Role Description
Cultivate, establish and maintain business relationships with assigned clients, their members, and representatives.
Exceptional responsiveness to client requests; troubleshoot
Role Description
This is a full-time hybrid role for a Call Center Supervisor at MetroHealthHMO. The Call Center Supervisor will be responsible for the following:
Receive calls from Clients,
Job Summary
As a Digital Marketing / Graphic Designer, your primary responsibility will be to create compelling visual assets and designs for digital marketing campaigns and initiatives.
You w
JOB DESCRIPTION
Planning and managing patient care according to each patient’s needs.
Interviewing patients and recording their medical history.
Obtaining patient vital signs and escor
JOB DESCRIPTION
Manage relationships with healthcare providers.
Oversee the onboarding and credentialing process for new providers.
Maintain provider contracts and agreements.
Handle provi
JOB DESCRIPTION
Process and adjudicate health insurance claims in a timely and accurate manner
Verify coverage and determine eligibility for members
Process payments to providers
Resolve m
JOB DESCRIPTION
Assist with accounts payable and accounts receivable processes, including invoice processing,
vendor payments, and customer invoicing.
Support the preparation of financial st
Job Description
Review daily inprocess report for new assigned claims
Request documentation from Office Assistant needed to complete clinical review of assigned claims
Review coding of profe
Scope of Work
The primary duties of the Call Centre Executive will include:
Provide product and service information to clients
Managing inbound and/or outbound calls from customers, distrib
Job Details
Be a champion for our members! Answer their questions about health plans, benefits, and claims.
Become a master problem-solver! Help our members find solutions and troubleshoot any
JOB DESCRIPTION
Preparation of petty cash analysis and reimbursement sheet
Posting of petty cash vouchers into Sage.
Preparation, documentation, and execution of payment memo including uploa
Requirement -MBBS degree from a reputable university with minimum of 2-4yrs experience within the clinical space.
Duties
Doctor Consulting and Contributing clinical expertise to bo
JOB DESCRIPTION
Supervise the Sales Executives Directly.
Meet set target Monthly and Yearly.
Use sales forecasting or strategic planning to ensure the sales and profitability of HM
Job Description
Responsible for the crafting and directing the strategic direction of the company to ensure that members have access to quality healthcare in a conducive provider environment at
Job Description
Review daily in-process report for new assigned claims
Request documentation from Office Assistant needed to complete clinical review of assigned claims
Review coding of prof
