Job Description
Registering of new HMO and liaising between these HMOs and the company.
Ensuring all HMO issues are resolved promptly.
Working on and ensuring we get the best possible tariffs from HMOs we are partnering with.
Acting as intermediary between our clients and our HMO partners
Getting of approval codes for eligible patient by filling in the requested services on the HMO portal
Communicating to HMOs by writing through email for approval and any other required information or care to be given to patients.
Authorization must be gotten at every stage of care i.e., for consultation, investigations, medications, etc
Processing of HMO claims.
Excellent communication skills with an ability to think creatively and innovatively.
Sending of bills estimate for procedures to HMO and obtaining proper approvals.
Ensuring that all the services given are paid for.
Following up with front desk to find out services that approvals were omitted and sorting out payment with the HMO
Following up on patients to pay for services that the insurance declined payment for.
Ensuring that doctors document diagnosis appropriately on their request to reduce claims denial.
Requirements
Candidates should possess a Bachelor’s Degree with 2 – 4 years work experience.
Interested and qualified candidates should send their CV to: greenlifehospital02@gmail.com using the Job Title as the subject of the email.
Apply via :
greenlifehospital02@gmail.com