HMO Officer

HMO Officer Job at Daniel Adewole Awe Medical Center

Daniel Adewole Awe Medical Center is a healthcare facility located in Ilesa, Osun State, providing quality primary and secondary healthcare services to the community and its environs.

We are recruiting to fill the position below:

Job Position: HMO Officer

Job Location: Osun

Job type: Full-time

Role Description This full-time, on-site HMO Officer role is based in Ilesa at Daniel Adewole Awe Medical Center. The HMO Officer duties include managing relationships with Health Maintenance Organizations, verifying patient coverage, coordinating pre-authorizations, processing and reconciling claims, and ensuring compliance with HMO policies and agreements.

Qualifications

• Bachelor’s Degree with relevant professional registration/licensure as required by regulatory bodies.
• Strong foundation in Medical Technology and Laboratory Medicine, with the ability to apply scientific principles to diagnostic testing and reporting.
• Demonstrated Laboratory Skills, including specimen collection, handling, analysis, and documentation in line with standard operating procedures.
• Knowledge of Pathology and related clinical disciplines to interpret test results and support appropriate clinical decisions.
• Experience with Quality Control processes, including calibration, validation, and routine checks to ensure accuracy and reliability of laboratory results.
• Familiarity with HMO operations, medical billing, claims processing, and healthcare reimbursement systems.
• Strong attention to detail, analytical thinking, and problem-solving skills, with the ability to work accurately under time constraints.
• Effective communication and interpersonal skills, with the ability to collaborate across clinical and administrative teams and interact with patients and HMO representatives.
• Proficiency in basic computer applications and laboratory information systems; prior experience in a hospital or clinical laboratory setting is an advantage.