HMO / NHIS Officer Job at St. Dominic Catholic Hospital

St. Dominic Catholic Hospital is a 64-bed hospital located in Ogungbade off New Ife road in Ibadan. St. Dominic Catholic Hospital is the vision of the Dominican Sisters of St. Catherine of Siena (Italy). We offer various medical services such as: General medicine, internal medicine, O & G, Laboratory, and Radiology, to mention just a few. The hospital is run in collaboration with foreign partners. We are registered and licensed by the Corporate Affairs Commission and the Ministry of Health. Also, we are accredited by the NHIS as both primary and secondary health care providers.

We are recruiting to fill the position below:

Job Position: HMO / NHIS Officer

Job Location: Ibadan, Oyo
Employment Type: Full-time

Job Summary

• The Health Insurance Officer is responsible for managing all health insurance related activities within the hospital, including claim verification, processing, and payment reconciliation.
• They act as a key liaison between the hospital, insurance providers, and patients, ensuring accurate and timely billing and payment for services rendered.

Key Responsibilities

• Oversee the entire billing process for health insurance claims, ensuring accurate and timely submission to insurance providers (HMOs).
• Ensure proper documentation for insurance claims, including medical coding, billing codes, and patient information.
• Resolve any discrepancies or issues with rejected claims, working closely with insurance companies and healthcare

Compliance & Documentation:

• Maintain accurate records of all billing transactions, claims, and payments.
• Stay updated on changes in healthcare insurance Policies.

Customer Service & Dispute Resolution:

• Handle inquiries from insurance companies, patients, and other stakeholders regarding billing issues, claims status, and payments.
• Work closely with the patient services department to resolve any billing-related concerns, ensuring a positive patient experience.
• Resolve billing disputes and follow up on unpaid claims to ensure timely and accurate payments.
• Prepare and process medical expressions and related documents.
• Maintain accurate insurance records and ensure timely follow-ups.
• Collaborate with departments and liaise with insurance companies effectively.

Requirements

• Minimum of 2 years of relevant experience.
• Proficiency in MS Office Suite (Word, Excel, PowerPoint).
• Excellent communication, attention to detail, and organizational skills.

Salary
N50,000 - N80,000 Monthly.

Method of Application
Interested and qualified candidates should send their Application Letters and CV to: adm.sdchib2019@yahoo.com using the Job Position as the subject of the mail.