HMO Desk Officer

Job Overview:
The HMO Desk Officer will manage patient registration, verify coverage, process approvals, and maintain accurate records, ensuring smooth coordination between HMOs, patients, and the hospital while delivering excellent customer service.

Duties and Responsibilities:
Serve as the primary point of contact for all HMO-related patient interactions. Register patients under their respective HMOs and confirm eligibility before consultations or treatments. Obtain and process pre-authorisations and approvals from HMO for procedures, medications, and investigations. Manage proper filing and retrieval of both HMO and general patient records, ensuring easy access when needed. Communicate effectively with HMO representatives to resolve queries, discrepancies, or approval delays. Work closely with the Accounts and Billing team to reconcile HMO claims and ensure accurate submissions. Guide patients through their HMO benefits, limitations, and required procedures politely and professionally. Ensure confidentiality, accuracy, and proper arrangement of all HMO-related documents. Uphold professional etiquette by greeting staff, patients, and visitors courteously and maintaining clear, respectful communication at all times. Adhere strictly to hospital policies and procedures regarding patient information and HMO claims.

Required Qualifications:
Bachelor’s degree in any field (Health, Administration, or related fields are an added advantage). Minimum of 2 years’ experience in HMO desk operations, billing, or hospital records management. Must reside in Benin City. Strong knowledge of HMO processes, including verification, authorization, and claims handling. Demonstrated critical thinking and problem-solving ability, with sound judgment in handling complex or sensitive cases. High level of attention to detail, accuracy, and accountability in all tasks. Strong organisational and multitasking skills. Proficient in computer use, including Microsoft Office and hospital/insurance software. Excellent communication and interpersonal skills for effective interaction with patients, staff, and HMO partners. Ability to take instructions, follow hospital procedures, and work independently when required. Confident in navigating HMO portals for verifications, approvals, and claims processing. Professional demeanor, discipline, accountability, and strong customer service and problem-resolution skills are essential.

Educational Background:
Bachelor’s degree in any field (Health, Administration, or related fields are an added advantage).

Experience:
Minimum of 2 years’ experience in HMO desk operations, billing, or hospital records management.

Languages:
English

Additional Notes:
Full Time - Rotating Schedule