HMO Officer

Emel Hospitals Limited Festac Town, Lagos, Nigeria isa multi-specialists’ hospital, situated at 21 Road, Z Close in Festac Town, Amuwo Odofin Local Government Lagos, Nigeria. Emel Hospital is a purpose-built 44 bed hospital situated on a piece of land specially approved for its purpose by the Federal Housing Authority. Emel Hospital was established in 1988 by Dr. Olufemi Mobolaji-Lawal, a consultant paediatrician. Dr. Mobolaji-Lawal trained as a doctor at the University College Hospital, Ibadan and as a paediatrician in the United Kingdom. Prior to setting Emel Hospital, he worked for some time as consultant paediatrician at Ikeja General Hospital (now Lagos State University Teaching Hospital), Lagos. He is the board chairman and his wife, Dr. (Mrs) Margaret Mobolaji-Lawal is a non-executive director. We are recruiting to fill the position below:

Job Title: HMO Officer

Location: Lagos

Employment Type: Full-time Job Description /

Responsibilities

Manage relationships and correspondence with Health Maintenance Organisations (HMOs). Process HMO authorisations, approvals, and claims. Verify patients' HMO eligibility and coverage before service delivery. Ensure accurate documentation and timely submission of claims. Follow up on outstanding claims, rejected claims, and payment discrepancies. Liaise with the hospital's medical, billing, and accounts departments to ensure smooth service delivery. Attend to HMO patients' enquiries and complaints professionally. Maintain proper records of HMO transactions and patient information. Ensure compliance with hospital policies and HMO procedures.