Rehabtech · HMO Officer for Hospital Administration
HMO Claims Liaison
8 weeks · 12 hrs/week · Remote · Intermediate
Rehabtech is a fictional simulated work environment created for the Jay Health Work Experience Programme. It is not a real or verified employer, and this programme is an educational work-experience placement, not employment.
Programme overview
Build liaison skills for resolving claims administration discrepancies between hospital and payer perspectives, with clear evidence, professional correspondence and traceable follow-up.
HMO Claims Liaison Work Lab
The HMO Claims Liaison Work Lab programme scope centres on resolving tariff and authorisation discrepancies. Its intended outputs include claims discrepancy case files, draft payer-provider correspondence, resolution and follow-up register.
What you will do: HMO Claims Liaison Work Lab
- Investigate tariff and authorisation discrepancies
- Draft clarification correspondence with supporting evidence
- Track disputed items and resolution actions
Through role-focused educational assignments at Rehabtech, you will work through case briefs, document the evidence behind your decisions and prepare work samples relevant to resolving tariff and authorisation discrepancies.
Work you will prepare for review
- Claims discrepancy case files
- Draft payer-provider correspondence
- Resolution and follow-up register
Methods you will practise
- Discrepancy reconciliation worksheets
- Liaison correspondence templates
Your weekly work cycle
- Develop and revise your claims discrepancy case files
- Submit progress on your draft payer-provider correspondence with evidence and outstanding questions
- Discuss resolving tariff and authorisation discrepancies findings in a supervisor review and record agreed next steps
Feedback and improvement. Your HMO Claims Liaison assignments will be reviewed against the programme’s assessment criteria. You will explain your approach, discuss corrections and refine your deliverables before including permitted samples in your portfolio. The programme runs for 8 weeks, with an expected commitment of 12 hours per week; agreed assignments and review arrangements are confirmed in your enrolment offer.
Role description
Purpose of the role. The HMO Claims Liaison programme develops role-specific judgement and professional work samples through resolving tariff and authorisation discrepancies. The emphasis is on explaining your approach, producing clear evidence and improving work in response to supervisor feedback.
Work environment. A remote educational HMO Claims Liaison programme set in the fictional Rehabtech environment, with role-focused case briefs, structured assignments and supervisor review.
Day-to-day responsibilities
- Investigate tariff and authorisation discrepancies
- Draft clarification correspondence with supporting evidence
- Track disputed items and resolution actions
Weekly responsibilities
- Develop and revise your claims discrepancy case files
- Submit progress on your draft payer-provider correspondence with evidence and outstanding questions
- Discuss resolving tariff and authorisation discrepancies findings in a supervisor review and record agreed next steps
Expected deliverables
- Claims discrepancy case files
- Draft payer-provider correspondence
- Resolution and follow-up register
Reporting and supervision. The HMO Claims Liaison programme scope includes an assigned supervisor reviewing role-specific deliverables, explaining corrections and assessing work against the criteria in your enrolment offer.
Tools and methods relevant to this programme
- Discrepancy reconciliation worksheets
- Liaison correspondence templates
Requirements
Qualifications or professional background
- Health records, nursing, hospital administration or insurance background
Required skills
- Accuracy with numbers
- Medical terminology
- Organisation
Preferred skills
- Hospital billing or front-desk experience
Previous experience. Prior exposure is helpful but not essential.
Digital literacy. Comfortable using web applications, spreadsheets and online communication tools.
Communication. Clear written English and timely responses to team messages and supervisor feedback.
Availability. 12 hours per week for 8 weeks, including scheduled reviews.
Technical requirements. A laptop or desktop computer, a modern browser and a stable internet connection.
Professional and ethical boundaries
- Educational casework only; no employment, real patient care, payer transactions or production system access is implied
- Use only fictional or authorised educational material; do not upload real patient or confidential employer information
- Specialist software, live integrations and dedicated role-specific workflows are not included in the current platform
Expected workload
Hours per week. 12 hours.
Assignment scope. Role-specific case briefs and deliverables focused on resolving tariff and authorisation discrepancies. Assignment volume and due dates are confirmed in the enrolment offer within the 12-hour weekly commitment.
Deadlines and reporting. Tasks carry individual due dates; a weekly summary is due at the end of each week.
Meetings. One weekly team stand-up and one supervisor review session.
Attendance. Check in and out of the work lab for each working session.
How performance is evaluated
- Accuracy and relevance of claims discrepancy case files
- Evidence and reasoning in draft payer-provider correspondence
- Documentation quality and professional boundaries
- Deadline adherence and response to feedback
Benefits
- Practical work-experience programme
- Access to Remote Career Launchpad
- Free mentor access according to the programme's mentoring arrangements
- Access to the Jay Health job board
- 10% discount on eligible Jay Health courses
- Supervisor feedback
- Opportunity to build a portfolio of permitted work samples
- Performance-based reward eligibility, where applicable (conditional, not guaranteed)
Learning outcomes
By the end of the programme you should be able to:
- Explain the key decisions and standards involved in resolving tariff and authorisation discrepancies
- Prepare professional claims discrepancy case files
- Prepare professional draft payer-provider correspondence
- Prepare professional resolution and follow-up register
- Use supervisor feedback to improve the clarity, accuracy and completeness of your work
Selection process
- Application review
- Interview
- Role-relevant assessment
- Acceptance decision
- Enrolment and payment of the ₦20,000 enrolment fee (only after acceptance)
- Onboarding