Latest Jobs at MetroHealth HMO Limited

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    MetroHealth HMO Limited is a Health Maintenance Organization which has been established with the objective of becoming the HMO of choice for corporate entities and all subscribing enrolees, who want good quality healthcare accessed through a technology enabled platform that will enhance the whole customer experience. The platform has been configured towards …

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    • Contents
    • Open Jobs
      1. HR / Admin Officer
      2. Claims Supervisor
    • Method of Application

    HR / Admin Officer

    • Job Type Full Time
    • Qualification BA/BSc/HND
    • Experience 4 years
    • Location Lagos
    • Job Field Administration / Secretarial&nbsp , Human Resources / HR&nbsp

    Reporting to: Head, HR/Admin

    Job Description

    • Providing support in the various Human Resource functions which includes but not limited to: HR Operations, recruitment & selection, L & D, performance management and employee relations.
    • Assist in ensuring that HR policies and procedures are adhered to
    • Liaising with a range of people involved in policy areas and HR operations
    • Maintaining, keeping and updating staff records
    • Generating Staff attendance reports and leaves records.
    • Assist in new employee onboarding program
    • Processing of Statutory remittances & utility bill
    • Supporting the development and implementation of HR initiatives and systems.
    • Overseeing administrative matters including: Vendors, vehicle & drivers management, Supervise and manage all day-to-day office administrative activities

    Requirements

    • B.Sc / HND in any of the social sciences; further training will be a plus
    • Minimum of 4 years of cognate job experience on same role
    • Proficient in MS Office suit
    • Must be an HR generalist
    • Detail-Oriented
    • Male preferrable for gender equality

    go to method of application »

    Claims Supervisor

    • Job Type Full Time
    • Qualification BA/BSc/HND
    • Experience 5 years
    • Location Lagos
    • Job Field Medical / Healthcare&nbsp

    Job Responsibilities

    • Coordinate the management of all Claims processes from submission, initial review, sorting and tracking, pre-processing, adjudication, review, scheduling for payment and then reconciliation and sign off on paid claims.
    • Ensure Accurate processing of all claims following proper enrolee verification, enrolee eligibility, PA confirmation, and according to contracted fee schedule with provider.
    • Ensure timely processing of claims and appeals on FIFO bases to ensure payment within 30 days of receipt of claims.
    • Ensure proper filing and maintenance of claims documents and make sure the information is readily available.
    • Conducts a review of processed claims for errors and ensure accuracy of processed claims and preparation of claim schedules for payment
    • Responsible for the supervision of the staff in claims unit including training and team building.
    • Regular reports on claims status, receipt, processed and payment.
    • Monitoring and evaluation of utilization patterns by
    • Analysis of preauthorization reports to identify regional and provider specific trends and propose process changes and policies for effective utilization management
    • Analysis of claims reports to identify regional and provider specific trends and propose process changes and policies for effective utilization management
    • Regular reports on claims status, trends and utilization patterns.
    • Any other activity as assigned by management

    Requirements

    • Minimum B.Sc. / HND in any discipline
    • Minimum of five (5) years of cognate experience on same role and in the HMO industry

    Method of Application

    Interested and qualified candidates should send their CV tometrovacancies@gmail.com using the Job title as the subject of the mail.

    Note: Only shortlisted candidates will be contacted

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