Federal polytechnic nassaraw (Science Laboratory Technology)

Lifepoint medical centre (HMO officer/ Administrative Assistant)

1. HMO Processing & Claims Management Verifying patients' HMO eligibility and coverage. Registering and authorizing treatments according to HMO policies. Processing and submitting HMO claims for hospital bills, consultations, and procedures. Following up on pending or rejected claims to ensure timely payments. 2. Patient Coordination & Support Assisting patients with HMO-related inquiries and documentation. Coordinating referrals, pre-authorizations, and approvals for medical services. Communicating with doctors, nurses, and the HMO company to ensure smooth patient care. 3. Billing & Documentation Keeping accurate records of HMO patients and transactions. Preparing and organizing invoices for HMO settlements. Ensuring proper documentation of services rendered for audit purposes. 4. Liaison Between Hospital & HMO Companies Communicating with different HMOs to resolve issues and clarify policies. Negotiating and maintaining good relationships with HMO providers. Keeping up-to-date with changes in HMO policies and informing relevant hospital departments. 5. Administrative Duties Scheduling and coordinating medical checkups for HMO patients. Preparing reports on HMO activities, claim statuses, and revenue. Ensuring compliance with hospital and HMO regulations.

(2024)