We are seeking a detail-oriented and organized HMO Billing/Receivable Officer to manage health insurance billing processes, claims submissions, and receivables within our healthcare facility.
The ideal candidate will ensure accurate documentation, timely processing of claims, and effective follow-up on outstanding payments from HMOs and corporate clients.
Key Responsibilities
Prepare and process HMO claims and invoices accurately and timely
Verify patient eligibility and treatment authorization with HMOs
Ensure proper documentation of patient records, invoices, and claims submissions
Follow up on outstanding payments and reconcile receivables
Resolve billing discrepancies and denied claims promptly
Maintain accurate records of payments, outstanding invoices, and account status
Liaise with HMOs, corporate organizations, and internal departments regarding billing matters
Requirements
Minimum B.Sc Health Information Management, or related field
Previous experience in HMO billing, medical billing, or healthcare receivables is preferred
Good understanding of HMO processes and healthcare billing systems
Excellent communication and negotiation skills
High level of accuracy and attention to detail
Ability to work independently and meet deadlines.