HMO Billing / Receivables Officer

Job Overview:
The HMO Billing / Receivables Officer will be responsible for the accurate processing of HMO invoices, claims submission, payment reconciliation, and receivables management. The role ensures timely billing, efficient follow-up on outstanding payments, and compliance with HMO contract terms and healthcare billing standards.

Duties and Responsibilities:
Prepare, review, and submit accurate HMO invoices and claims within stipulated timelines. Ensure all claims meet HMO requirements, documentation standards, and approval processes. Liaise with internal departments (Laboratory, Finance, Client Services) to validate billing information. Track submitted claims and ensure prompt processing and approval by HMOs. Monitor outstanding HMO payments and ensure timely follow-up for collections. Maintain accurate records of all receivables and payment statuses. Reconcile HMO accounts and resolve discrepancies promptly. Generate receivables aging reports and escalate overdue accounts where necessary. Reconcile payments received against submitted invoices and claims. Prepare weekly and monthly HMO billing and receivables reports. Provide updates on payment status, pending claims, and financial risks. Support audits by providing required billing and receivables documentation. Liaise with HMO representatives to resolve billing queries and disputes. Work closely with finance and operations teams to ensure billing accuracy. Maintain professional relationships with insurance partners and corporate clients. Ensure all billing activities comply with HMO agreements, company policies, and regulatory requirements. Maintain proper documentation of claims, approvals, and correspondence. Support internal and external audit processes.

Required Qualifications:
Bachelor's Degree or HND in Accounting, Finance, Business Administration, or related field.

Educational Background:
2 – 4 years' experience in HMO billing, healthcare receivables, or insurance claims management. Experience in medical diagnostics, hospitals, or healthcare billing environment is highly preferred.

Experience:
2 – 4 years

Languages:
English

Additional Notes:
Interested and qualified candidates should send their CV to: hiring@mysigma.io with the subject line: HMO Billing / Receivables Officer – Lagos.