Jobs at LD&D Consulting

Job Summary

• Our reliable client in the healthcare company  is hiring an HMO Officer- to manage HMO authorizations, claims processing, and receivables to ensure accurate and timely payments while maintaining billing transparency and patient satisfaction.

Responsibilities

• Process HMO authorizations, pre-approvals, and claims according to provider agreements.
• Verify patient eligibility and benefits before service delivery.
• Submit clean claims and follow up on pending/denied claims until resolved.
• Reconcile monthly HMO payments against services rendered and flag discrepancies.
• Maintain updated records of HMO tariffs, policies, and agreements.
• Liaise with HMOs, patients, and internal teams to resolve billing issues.
• Prepare weekly and monthly receivables reports for management.

Requirements

• HND/B.Sc in Accounting, Finance, Health Administration, or related field.
• Minimum 2 years’ experience in HMO billing, receivables, or revenue cycle in a hospital/diagnostics setting.
• Working knowledge of NHIA guidelines and HMO processes in Nigeria.
• Proficient in Excel and hospital management/billing software.
• Strong attention to detail, integrity, and follow-up skills.

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Job Summary

• Our reliable client in the healthcare space is hiring a QA officer implement and monitor quality assurance and quality control systems to ensure accurate, reliable, and compliant diagnostic services.

Responsibilities

• Develop and maintain QA/QC systems across lab and clinical units.
• Conduct internal audits and manage corrective and preventive actions.
• Ensure SOPs and documentation comply with regulatory standards.
• Coordinate external proficiency testing and regulatory inspections.
• Train staff on quality standards and monitor competency.
• Investigate non-conformances and lead root cause analysis.
• Prepare and present monthly QA reports to management.

Requirements

• B.Sc/B.MLS in Medical Laboratory Science, Microbiology, or related field.
• Minimum 3 years’ experience in QA/QC in a diagnostics lab or hospital.
• Knowledge of ISO 15189, ISO 9001, and MDCN/NHIA standards.
• Experience with internal auditing and SOP development.
• ISO Internal Auditor certification is an advantage.
• Strong analytical and documentation skills.