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HMO/Billing Officer

JOB TITLE: HMO/BILLING OFFICER (IN A HOSPITAL)

JOB SUMMARY

We are currently seeking to employ a suitably qualified HMO/Billing Officer (In A Hospital), responsible for planning and overseeing health services, coordination of health workers, managing NHIS/HMO quality initiatives, coordination of meetings, carrying out billing and collections functions of a hospital, and presentations for all departments and units within the hospital.

JOB DESCRIPTION/RESPONSIBILITIES
CORE RESPONSIBILITIES:

  • The billing officer must ensure that every patient that sees the doctor or receives any other treatments is billed appropriately and that the payment is made to the cashier.
  • It is mandatory that bills are sent out between the 1st and 4th of every new month.
  • It is the duty of the billing officer to see to it that patients especially the private fee-paying get their drugs.  This he/she must carry out with the consultation of the Pharmacy Technician.
  • Ensure that bills sent out are correct and corresponds with the treatment given and received by the patient.
  • To ensure that the billing guide is in line with the current economic changes so that the Hospital does not run at a loss.
  • Ensure that all HMO platforms are adequately followed and patients are treated according to their plans.
  • Ensure that every HMO patient whose platform is not covered for the required treatment is treated as either a private patient and /or get adequate code from the company before commencement of treatment.
  • Revolutionize the records department vis-à-vis his/her training to ensure maximum benefit from the record office.
  • Any other duty as may be officially assigned.

COMPETENCY AND TECHNICAL SKILL REQUIREMENTS

  • Proficiency in MS Office, with exceptional knowledge of Excel and PowerPoint
  • Working knowledge of Google Docs
  • Knowledge of project and task management tools such as Trello
  • Excellent customer relationship skills
  • Computer proficiency
  • Organisation skills 
  • Communication skills
  • Capacity to manage several tasks or requests simultaneously. 
  • Time management

EDUCATION AND EXPERIENCE

EDUCATION:BSc. in Business, Health, Science or in any related field. HMO Experience is required. Any additional certification (professional membership of health, the management or related bodies) is a plus.
EXPERIENCE REQUIRED:2-5 years working experience
OTHER REQUIREMENTSMust be between 23-27years. Must reside within the Ikeja axis.