HMO Officer at Jibs-Ray Nigeria Limited

Job Description

• To check data for accuracy, ensure proper billing for insurance settlement,
• To record information and keep file folders and electronic databases upToDate.
• To ensure patient care conforms with individual HMO/NHIS requirements/policies
• To obtain all necessary HMO approvals as required
• Ensure completion of all documentation for HMOs and the timely submission of bills
• To follow best practices in ensuring safety of patient confidentiality.
• Other duties as assigned by the manager
• HMO claim reconciliation
• HMO tariff review
• HMO onboarding
• Verification of all Insurance patients to avoid insurance claim denial.
• Getting of authorization for eligible patients to access care