We are seeking a detail-oriented and proactive HMO Billing & Administrative Officer to manage HMO billing processes while supporting day-to-day administrative operations. The ideal candidate will ensure accurate claims processing, efficient office coordination, and smooth communication between patients, HMOs, and internal teams.
Key Responsibilities:
Prepare and submit HMO claims accurately and on time
Verify patient eligibility and HMO coverage
Follow up on outstanding claims and resolve rejections/denials
Reconcile HMO payments and maintain billing records
Liaise with HMOs on billing issues and approvals
Ensure compliance with billing guidelines and policies
Handle office administrative tasks
Maintain patient records and documentation systems
Coordinate appointments and support patient scheduling
Manage correspondence (emails, calls, and official documents)
Support other departments with administrative needs
Job Requirements:
Bachelor's degree in Accounting, Business Administration, Health Information Management, or related field
Proven experience in HMO billing and/or administrative roles
Good understanding of HMO processes and healthcare operations
Proficiency in Microsoft Office (especially Excel and Word)
Strong organizational and multitasking skills
Excellent communication and interpersonal skills
Preferred Qualifications
Experience in a hospital, clinic, or healthcare setting
Familiarity with medical billing software
Ability to work efficiently in a fast-paced environment