HMO Billing / Receivables Officer

Industry: Medical Diagnostics / Healthcare
Location: Lekki Lagos
Employment Type: Full-Time
Salary: 250000 net
Experience Level: 2 4 years

Position Summary

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.

The ideal candidate must have strong attention to detail good numerical skills and experience working with HMOs insurance claims or healthcare billing systems.

Key Responsibilities

HMO Billing & Claims Processing

• 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.

Receivables Management

• 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.

Reconciliation & Reporting

• 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.

Stakeholder Engagement

• 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.

Compliance & Documentation

• 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.

Requirements / Qualifications

Education

• Bachelors Degree or HND in Accounting Finance Business Administration or related field.

Experience

• 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.

Technical Skills

• Strong knowledge of HMO billing processes and healthcare claims management.

• Proficiency in Microsoft Excel and other Microsoft Office tools.

• Experience using billing systems ERP or hospital information systems (an advantage).

• Good understanding of accounting and reconciliation principles.

Skills & Competencies

• Strong numerical and analytical skills

• Attention to detail and accuracy

• Good communication and negotiation skills

• Time management and organizational ability

• Problem-solving skills

• Ability to work under pressure and meet deadlines

• Team collaboration and interpersonal skills

Behavioural Attributes

• High level of integrity and confidentiality

• Professionalism in handling client and insurer relationships

• Accountability and ownership mindset

• Proactive and solution-oriented approach

• Strong work ethic and reliability

Key Performance Indicators (KPIs)

• Accuracy of HMO billing and claims submission

• Timeliness of claim processing

• Reduction in rejected or disputed claims

• Collection efficiency and receivables recovery rate

• Quality of reconciliation reports

• Compliance with billing procedures and documentation standards

How to Apply

Interested and qualified candidates should send their CV to:

Subject Line: HMO Billing / Receivables Officer Lagos