A Health Maintenance Organization Officer is someone who plans and oversees health services, modulate other health workers. They manage NHIS/HMO quality initiatives within the hospital.
The Duties Of A HMO Officer Includes:
- To process complaints from beneficiaries and coworkers, following established guidelines.
- To establish effective policies for all operational procedures
- To prepare work schedules
- To give proper orientation to patients/clients on the benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals.
- To address potential resolve potential issues with patients and ensure their satisfaction is guaranteed.
- To interview and orient new employees.
- To monitor the performances of other staff in the Hospital
- To interact with the entire HMO community
Job Requirements For A HMO Officer
The requirements for anyone wanting to take up the job of a health maintenance officer is as follows:
- A minimum of First Degree (HND/B.Sc) or its equivalent in Health or Science related field.”
- Past HMO experience may provide better chances of acceptance.
- The Knowledge of the operations of the National Health Insurance Scheme (NHIS)
- Excellent customer relationship skills is required.
- Good communication/presentation skills (both oral and written)
- He/she must be able to take responsibility and demonstrate high level of integrity in dealing with all stakeholders, and also have the Knowledge of statistical/epidemiological tools such as SPSS, Graph Pad Prison, Ms Excel, and Ms Power point.
- A minimum of 5 years experience post NYSC in relevant and related position; Attendance of related Courses/ workshops/seminars may be required.
Required Skills of A HMO Officer
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or ability required:
- He/she must be Professional development through participation in continuing education and professional Organizations.
- Conversant with the HMO processes and Maintenance
- Must also be good in Coordination, Listening, Scheduling and Teamwork
- Must possess good administrative skills
- Superior problem solving skills
- Ability to explain detailed instructions articulately and clearly
- Ability to analyze Information promptly
- Exceptional customer services skills
- Proficient in relevant computer applications
- Knowledge of customer service principles and practices.