Branch Agents at Total Health Trust Limited

 Employment Nigeria 28-Oct-2017 KADUNA , Health  


Total Health Trust Limited a leading Health Maintenance Organization (HMO) is recruiting to fill the position below:

POSITION : Branch Agent (Medical)

Responsibilities

  • Facilitate the investigation of potential fraudulent claims within the specific branch and provide feedback to the Branch manager
  • Hospital visits regarding specific branch cases
  • Provide services in the accreditation and re-accreditation of branch providers to ensure that provider facilities and services are up to standard as per the agreed standards using a standardized checklist
  • Adhere to and live the organizational values
  • Manage specific cases in the branch in order to get the best outcome
  • Facilitate the process of pre-authorisations and authorisations between the provider and the scheme and to give feedback to the relevant party concerned
  • Facilitate resolution of all queries from providers and members within the branch on specific cases and within the agreed SLA
  • Following Head Office approval, to ensure a successful provider forum is held as stipulated
  • Ensure provider education is done and ensure product knowledge and processes are understood towards seamless service delivery to enrollees

Requirements

  • Must be a registered nurse
  • Have at least 1 year medical experience
  • Very proficient in Microsoft office packages

Others

  • Ability to work under pressure
  • Adaptive, expertise, Result-Oriented, Relationship Skill
  • Working with people
  • Interpersonal Skill
  • Must be a good collaborator/Team player
  • Good organizational and planning capabilities
  • Innovative and quick thinking capabilities
  • Adaptive
  • Decision Making skill and Excellent Customer Service Skill
  • Integrity


Sorry the application deadline for this job has elapsed



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