HMO Officer

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Introduction: 

Our aim is to provide a new and exciting platform to efficiently source jobs and candidates by offering Bounty Points for true Crowd Source Recruiting!

Location: 
Ikoyi, Lagos state, Nigeria
Job Description: 

. Interact with HMO community.

. Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to enrollees and Providers.

. Conduct outreach calls as assigned to proactively educate associations, unions and members of the public on services available

. Process complaints, following established guidelines.

. Maintain knowledge of National guidelines, regulations, and departmental policies and practices and maintain accurate documentation for compliance.

. Develop and implement effective policies for all operational procedures

. Prepare work schedules

. Maintain organized medical and employee records

. Monitor administrative staff’s performance

. Resolve potential issues with patients.

Job Requirement/Qualification: 

. Minimum of First Degree (HND/B.Sc) or its equivalent in Health or Science related field.

. 1 - 2 years HMO Experience is required

. Knowledge of the operations of the National Health Insurance Scheme (NHIS)

. Excellent customer relationship skills

. Good communication/presentation skills (both oral and written)

. Must be a team player, able to build and maintain effective and collaborative network

. Must be able to take responsibility and demonstrate high level of integrity in dealing with all stakeholders.

Method of Application: