ZipRecruiter

Log In

1

Hmo Jobs (NOW HIRING)

RAM Recruiting

Medicare/ HMO Biller

Lakewood, NJ

$18 - $23.25/hr

A growing healthcare organization is seeking an experienced Medicare HMO Biller to join its corporate billing team. This role is responsible for managing Medicare Advantage (HMO) claims and ensuring ...

Girling Health Care of New York

HMO Biller

Brooklyn, NY

$24 - $28/hr

Bill HMO Claims * Must check and work on denied claims every week. * Check on Waystar daily if any claims are rejected. * The payments must be posted no later than 1 week after getting the remittance.

Girling Health Care of New York

HMO Biller

Brooklyn, NY · On-site

$24 - $28/hr

Bill HMO Claims * Must check and work on denied claims every week. * Check on Waystar daily if any claims are rejected. * The payments must be posted no later than 1 week after getting the remittance.

Liberty Mutual

Senior Medical Specialist- Stop Loss/HMO

MA · On-site

$107.50K - $127.10K/yr

Provide clinical expertise to underwriting teams for new and renewal Employer Stop-Loss and HMO/PEI business, identifying, and assessing risks associated with specific diseases or conditions. * Cost ...

Liberty Mutual

Senior Medical Specialist- Stop Loss/HMO

$110.30K - $176.80K/yr

Provide clinical expertise to underwriting teams for new and renewal Employer Stop-Loss and HMO/PEI business, identifying, and assessing risks associated with specific diseases or conditions. * Cost ...

Guidance Care HMO

Managed Care Liaison

Lakewood, NJ · On-site

Guidance Care HMO is looking to hire Full Time employees in our Liaison Department. Our Liaison Department assists nursing homes with various billing inquiries and other issues related to Managed ...

TAL Healthcare

Be Seen First

Medicare/HMO Billing Coordinator- Nursing Home

Smithtown, NY · On-site

$80K - $90K/yr

Nursing Home Medicare/ HMO Billing Coordinator Our Client is in need of a Nursing Home Medicare /HMO Billing Coordinator Qualifications · Must have a strong working knowledge of accounts receivable ...

next page

Showing results 1-20

People also search for

All JobsHmo Jobs

Hmo information

See salary details

$9

$23

$38

How much do hmo jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for hmo in the United States is $23.09, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $28.12 per hour, depending on experience, location, and employer.

What is an HMO job?

An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.

What are the key skills and qualifications needed to thrive in the Hmo position, and why are they important?

To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.

What are the typical responsibilities of an HMO Medical Officer on a daily basis?

As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.

How does the HMO work?

An HMO (Health Maintenance Organization) is a type of health insurance plan that requires members to choose a primary care physician and get referrals to see specialists. It generally offers lower premiums and out-of-pocket costs but requires members to use a network of approved healthcare providers for covered services.
More about Hmo jobs
What are the most commonly searched types of Hmo jobs? The most popular types of Hmo jobs are:
What states have the most Hmo jobs? States with the most job openings for Hmo jobs include:
What job categories do people searching Hmo jobs look for? The top searched job categories for Hmo jobs are:
Hmo jobs near you
Infographic showing various Hmo job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $48,022 per year, or $23.1 per hour.

Medicare/ HMO Biller

RAM Recruiting

Lakewood, NJ

$18 - $23.25/hr

Full-time

Posted 6 days ago

Job description

A growing healthcare organization is seeking an experienced Medicare HMO Biller to join its corporate billing team. This role is responsible for managing Medicare Advantage (HMO) claims and ensuring timely, accurate reimbursement for skilled nursing facility services.

Responsibilities:
Process and submit Medicare HMO claims accurately and timely
Work with multiple Medicare Advantage plans and understand plan-specific requirements
Follow up on unpaid, underpaid, or denied claims and resolve discrepancies
Review EOBs and remittance advice to ensure correct reimbursement
Coordinate with facilities, case management, and admissions teams as needed
Maintain accurate billing records and aging reports
Ensure compliance with Medicare and payer regulations

Qualifications:
Previous experience billing Medicare HMO/Medicare Advantage claims required
Skilled Nursing Facility billing experience strongly preferred
Strong understanding of authorization requirements and payer rules
Ability to analyze denials and appeal when appropriate
Proficiency with billing systems and Microsoft Excel
Strong attention to detail and ability to manage multiple accounts

What We Offer:
Competitive compensation based on experience
Full-time, stable position in a corporate setting
Supportive billing leadership and collaborative team environment
Opportunity to grow within a healthcare organization

IND456