About the Role
Radiyah Hospital Abuja is seeking a detail-oriented and experienced HMO Desk Officer to oversee our Health Maintenance Organization operations. In this role, you will serve as the primary liaison between our medical facility and various HMO partners, ensuring that our patients receive prompt, compassionate, and seamless healthcare services without administrative bottlenecks. If you are passionate about healthcare administration and possess a strong background in managing health insurance claims, we invite you to join our dedicated team in Abuja.
Key Responsibilities- Oversee the day-to-day activities of the HMO Department to ensure smooth and efficient operations.
- Ensure that all HMO patients receive the necessary authorization codes promptly before medical services are rendered.
- Accurately document and submit claims for services provided to HMO patients within stipulated timelines.
- Follow up consistently on submitted claims and outstanding payments from various HMO providers.
- Communicate effectively with HMO representatives to resolve issues relating to claims, rejected services, and payment delays.
- Review and reconcile healthcare claims to guarantee that all services rendered are properly accounted for.
- Handle correspondence with HMOs and professionally attend to patient enquiries or complaints.
- Coordinate HMO registrations, partnership arrangements, and the signing of service level agreements with new providers.
- Collaborate closely with clinical and administrative hospital departments to ensure accurate documentation and excellent service delivery.
- B.Sc. or HND in Health Information Management, Health Records Management, Health Administration, Business Administration, Accounting, or a related discipline.
- Previous working experience in a hospital HMO unit, medical billing, or healthcare insurance claims processing is an added advantage.
- Exceptional communication, negotiation, and interpersonal skills.
- Strong ability to handle complex claims, maintain meticulous records, and aggressively follow up on outstanding payments.
- Proficiency in Microsoft Office Suite and basic hospital management software applications.
- Highly organized, responsible, and capable of working effectively with minimal supervision.
- Competitive salary commensurate with experience and qualifications.
- Opportunities for professional development and continuous medical education.
- A supportive, compassionate, and collaborative work environment at a leading Abuja hospital.
- Health care benefits for staff and immediate family members.