Posted on: Wed 16-04-2025

Syx-Brij Nigeria Limited - Our client, Adia Hospital, located at Plot 246 AC Street, Itokin Road, beside Low-cost Estate gate, Sabo, Ikorodu, Lagos, is a modern private hospital committed to providing exceptional healthcare services to the community.

We are recruiting to fill the position below:

Job Title: Health Maintenance Organizations (HMO) Manager

Location: Ikorodu, Lagos

Employment Type: Full-time

 

Responsibilities

HMO Liaison:

• Serve as the primary point of contact between Vima Hospital and Health Maintenance Organizations.
• Manage communication, negotiations, and relationship-building with HMO representatives.

 

Verification and Authorization:

• Verify patient eligibility and coverage with HMOs.
• Obtain necessary authorizations for medical procedures, tests, and treatments covered by HMO plans.

 

Billing and Claims:

• Ensure accurate and timely submission of patient claims to HMOs.
• Coordinate with the billing department to resolve any discrepancies or issues related to HMO billing.

 

Documentation and Record-Keeping:

• Maintain comprehensive and up-to-date records of HMO-related transactions, authorizations, and communications.
• Prepare reports on HMO utilization, claims, and reimbursement.

 

Educational Outreach:

• Educate patients on their HMO coverage, benefits, and responsibilities.
• Provide guidance on navigating HMO processes and requirements.

 

Conflict Resolution:

• Address and resolve any issues or disputes between Lifeshade Hospital and HMOs.
• Collaborate with internal departments to ensure compliance with HMO agreements.

 

Compliance:

• Stay abreast of changes in HMO policies, regulations, and industry trends.
• Ensure hospital practices align with HMO contractual agreements and regulatory requirements.

 

Qualifications

• Bachelor's Degree in Healthcare Administration, Business Administration, or a related field can be a bonus.
• Proven experience working in a similar role within the healthcare industry.
• In-depth knowledge of HMO processes, policies, and regulations.
• Strong communication and negotiation skills.
• Detail-oriented with excellent organizational and problem-solving abilities.
• Ability to work collaboratively in a fast-paced healthcare environment.

 

Remuneration

• Competitive salary and benefits package, including health insurance, retirement plan, and vacation time.

 

Application Closing Date

6th May, 2025.

 

How to Apply

Interested and qualified candidates should

Click here to apply online

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