HMO / NHIS Officer

St. Dominic Catholic Hospital
Oyo, Oyo State
Full time
4 weeks ago

  • The Health Insurance Officer is responsible for managing all health insurance related activities within the hospital, including claim verification, processing, and payment reconciliation.
  • They act as a key liaison between the hospital, insurance providers, and patients, ensuring accurate and timely billing and payment for services rendered.

Key Responsibilities

  • Oversee the entire billing process for health insurance claims, ensuring accurate and timely submission to insurance providers (HMOs).
  • Ensure proper documentation for insurance claims, including medical coding, billing codes, and patient information.
  • Resolve any discrepancies or issues with rejected claims, working closely with insurance companies and healthcare

Compliance & Documentation:

  • Maintain accurate records of all billing transactions, claims, and payments.
  • Stay updated on changes in healthcare insurance Policies.

Customer Service & Dispute Resolution:

  • Handle inquiries from insurance companies, patients, and other stakeholders regarding billing issues, claims status, and payments.
  • Work closely with the patient services department to resolve any billing-related concerns, ensuring a positive patient experience.
  • Resolve billing disputes and follow up on unpaid claims to ensure timely and accurate payments.
  • Prepare and process medical expressions and related documents.
  • Maintain accurate insurance records and ensure timely follow-ups.
  • Collaborate with departments and liaise with insurance companies effectively.

Requirements

  • Minimum of 2 years of relevant experience.
  • Proficiency in MS Office Suite (Word, Excel, PowerPoint).
  • Excellent communication, attention to detail, and organizational skills.

Salary
N50,000 - N80,000 Monthly.

Method of Application
Interested and qualified candidates should send their Application Letters and CV to: adm.sdchib2019@yahoo.com using the Job Position as the subject of the mail.

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