HMO Executive - Lagos, Nigeria - Starcare International Hospital

Description

ABOUT THE COMPANY

At Starcare International Hospital, we are more than just a healthcare facility; we are a beacon of hope, a center of healing, and a testament to the pursuit of excellence in healthcare. Our story is one of dedication, compassion, and the unwavering commitment to providing the highest standard of medical care to the community we serve.

JOB SUMMARY

Qualifications Bachelor's Degree in Business Administration, Healthcare Management, or related field. Minimum of 2 years' experience in a similar role within a healthcare setting. In-depth knowledge of healthcare insurance policies and HMO operations. Strong negotiation and problem-solving skills, with the ability to handle sensitive patient information confidentially. Excellent communication skills and the ability to work collaboratively with multiple departments.

RESPONSIBILITIES

Job Description Act as a liaison between the hospital and Health MaintenanceOrganizations (HMOs), insurance companies, and corporate clients. Manage and update contracts with HMOs, ensuring compliance with their policies and procedures. Oversee patient billing processes specific to HMO guidelines, including verification of eligibility, authorization for services, and claims processing. Address and resolve HMO-related inquiries and disputes from patients and staff, ensuring optimal patient satisfaction and streamlined operations.

REQUIRED SKILLS

Document and archive management, Office administration, management, Email correspondence, Database administration, Team leadership

REQUIRED EDUCATION

Bachelor's degree